NPIMap

Organization Active NPI

Pdap of Ventura County, Inc.

  • Community/Behavioral Health Agency
  • Moorpark, CA
National Provider Identifier
1790081966
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
560015BN Issued in CA
Legal business name
PDAP OF VENTURA COUNTY, INC.
Practice address
12039 Hertz Street
Moorpark, CA 93021
Phone
(805) 482-1265
Fax
(805) 389-5295
NPI assigned
Feb 4, 2011
Last updated
Feb 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PDAP OF VENTURA COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virginia M. Connell, LMFT
Title
Executive Director
Phone
(805) 482-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 560015BN CA Primary

Addresses

Primary practice location

12039 Hertz Street
Moorpark, CA 93021

Mailing address

450 Rosewood Ave
Camarillo, CA 93010-5914
Phone (805) 485-1265

Other names 1

  • Palmer Drug Abuse Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Pdap of Ventura County11 organizations share this tax ID, including this one
Part of
Pdap of Ventura County

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 Rosewood Ave
Camarillo, CA 93010

12039 Hertz Ave
Moorpark, CA 93021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1790081966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-485-1265",
            "fax_number": "805-389-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12039 HERTZ STREET",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "93021",
            "telephone_number": "805-482-1265",
            "fax_number": "805-389-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDAP OF VENTURA COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PDAP OF VENTURA COUNTY, INC.",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-482-1265",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "560015BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Drug Abuse Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.