Individual provider Active NPI

Saranya Reghunathan, M.D.

  • Otolaryngology Physician
  • Oxnard, CA
National Provider Identifier
1811252968
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A162142 Issued in CA
Practice address
2361 E Vineyard Ave
Oxnard, CA 93036-2102
Phone
(805) 981-3770
Fax
(805) 981-9674
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A162142 CA Primary

Addresses

Primary practice location

2361 E Vineyard Ave
Oxnard, CA 93036-2102

Mailing address

29675 Triunfo Dr
Agoura, CA 91301-3006
Phone (818) 671-7969

Other practice location 1

2361 E Vineyard Ave
Oxnard, CA 93036-2102
Phone (805) 981-3770

Other practice location 2

2361 E Vineyard Ave
Oxnard, CA 93036-2102
Phone (805) 981-3767

Other practice location 3

1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 626-0887

Other practice location 4

3687 Las Posas Rd Ste 187H
Camarillo, CA 93010-1431
Phone (818) 671-7969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812001307 CA Practitioner - Otolaryngology 4688939457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3687 Las Posas Rd
Camarillo, CA 93010-1431
Phone (818) 671-7969

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162142CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Specialists & Surgeons of Southern California, a Medical Corp CurrentSince Apr 29, 2021 Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

3687 Las Posas Rd
Ste 187H
Camarillo, CA 93010
Phone (805) 309-0818

3687 Las Posas Rd
Ste H187
Camarillo, CA 93010
Phone (805) 445-4189

3555 Loma Vista Rd
Ste 100
Ventura, CA 93003
Phone (805) 259-1356

Interoperability endpoints

  • Direct secure messaging: saranyareghunathan@cfh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1811252968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29675 TRIUNFO DR",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913013006",
            "telephone_number": "818-671-7969",
            "fax_number": "818-597-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 E VINEYARD AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362102",
            "telephone_number": "805-981-3770",
            "fax_number": "805-981-9674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2361 E Vineyard Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362102",
            "country_code": "US",
            "telephone_number": "805-981-3770",
            "fax_number": "805-981-9674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2361 E Vineyard Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362102",
            "country_code": "US",
            "telephone_number": "805-981-3767",
            "fax_number": "805-981-9674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857240001",
            "country_code": "US",
            "telephone_number": "520-626-0887",
            "fax_number": "520-626-2247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3687 Las Posas Rd Ste 187H",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101431",
            "country_code": "US",
            "telephone_number": "818-671-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGHUNATHAN",
        "first_name": "SARANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A162142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.