Active NPI
Natalie Nichols, PA-C
- Physician Assistant
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 61042
- Practice address
- 2772 Johnson Dr Ste 200
Ventura, CA 93003-7262 - Phone
- (805) 642-1430
- NPI assigned
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 61042 | CA | Primary |
Addresses
Primary practice location
2772 Johnson Dr Ste 200
Ventura, CA 93003-7262
Mailing address
723 Seneca St Unit B14
Ventura, CA 93001-4424
Phone (805) 515-9686
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10885 Telegraph Rd
Ventura, CA 93004-1272
Phone (805) 647-7704
117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone (805) 646-7246
2772 Johnson Dr
Suite 200
Ventura, CA 93003-7262
Phone (805) 642-1430
3555 Loma Vista Rd
Suite 110
Ventura, CA 93003-3161
Phone (805) 653-0303
888 W Ventura Blvd
Suite a
Camarillo, CA 93010-8803
Phone (805) 383-7701
Hospital & facility affiliations
- Assisted Home Care
- Livingston Memorial Visiting Nurse Association
- Community Memorial Hospital - Ventura
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61042 | CA | MD | Physician Assistant |
Interoperability endpoints
- natalie.nichols.1@21226.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Ventura, CA
- NPI 1417970849
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ventura, CA
- NPI 1619929734
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
-
- Home Health Agency
- Ventura, CA
- NPI 1053315739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1821745373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 SENECA ST UNIT B14",
"city": "VENTURA",
"state": "CA",
"postal_code": "930014424",
"telephone_number": "805-515-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2772 JOHNSON DR STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037262",
"telephone_number": "805-642-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "NATALIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-04",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.