NPIMap

Organization Active NPI

Nacc Port Huneme

  • Medical Specialty Clinic/Center
  • Port Hueneme, CA
National Provider Identifier
1801978952
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NACC PORT HUNEME
Practice address
Nacc
162 First Street Building 1402
Port Hueneme, CA 93043-0001
Phone
(805) 982-6342
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David White, D.O
Title
Oic
Phone
(805) 982-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

Nacc
162 First Street Building 1402
Port Hueneme, CA 93043-0001

Mailing address

1485 Las Positas PL
Santa Barbara, CA 93105-4525

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

162 1st St
Bldg 1402
Port Hueneme, CA 93043
Phone (805) 982-6335

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801978952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 LAS POSITAS PL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NACC",
            "address_2": "162 FIRST STREET BUILDING 1402",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930430001",
            "telephone_number": "805-982-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACC PORT HUNEME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OIC",
        "authorized_official_telephone_number": "805-982-6370",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.