Ventura Advanced Surgical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VENTURA ADVANCED SURGICAL ASSOCIATES

Practice address

10956 Donner Pass Rd Ste 310
Truckee, CA 96161-4861

Phone

(805) 639-3984

Fax

(530) 432-4915

NPI assigned

Mar 25, 2007

Organization subpart

No

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

Authorized official

Name

Heather Jacobsen

Title

Insurance Coordinator

Phone

(805) 639-3984

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ventura Advanced Surgical Associates

  • Specialist
  • Ventura, CA
  • NPI 1396862116

  O20040629001566

  Same enrollment

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1851418677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033232",
            "telephone_number": "805-639-3984",
            "fax_number": "530-432-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD STE 310",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "805-639-3984",
            "fax_number": "530-432-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA ADVANCED SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "805-639-3984"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Valois
• Nicholas Ramon Vargas, MD
• Jeffrey Michael Vasey, D.C.
• Oleg A. Vayner
• Erika Veidis
• Theodora Veronis
• Samuel Patrick Verutti, LCSW
• Victor Community Support Services, Inc.
• Gabriela Giselle Villalba, MSN, FNP
• Vitality Primary Care LLC

• Specialist in Truckee, CA
• Providers in Truckee, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.