Ventura Orthopedic Spine, Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

20A4466 Issued in CA

Legal business name

VENTURA ORTHOPEDIC SPINE, INC

Practice address

168 N Brent St
Suite 505
Ventura, CA 93003-2840

Phone

(805) 648-3902

Fax

(805) 648-4014

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Small, D.O.

Title

President

Phone

(805) 648-3902

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/D1ADAA

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1831440981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA ORTHOPEDIC SPINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-648-3902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "20A4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ventura Harbor Restaurant Associates Inc
• Ventura Institute of Ophthalmology Inc
• Ventura Med Inc
• Ventura Neurosurgery Management Corporation
• Ventura Optometric Vision Care Inc.
• Ventura Orthopedics Medical Group, Inc.
• Ventura Outpatient Surgery, Inc.
• Ventura Pain and Spine Physicians
• Ventura Pelvic Physical Therapy
• Ventura Pharm Inc

• Orthopaedic Surgery of the Spine Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.