Organization Active NPI

CHC Ventura, LLC

Doing business as Connected Health Centers

  • Clinic/Center
  • Ventura, CA
National Provider Identifier
1861970121
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHC VENTURA, LLC
Doing business as
Connected Health Centers
Practice address
1624 E Main St
Ventura, CA 93001-3308
Phone
(805) 641-2004
Fax
(805) 641-2001
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Jeff Alexander
Title
Manager
Phone
(719) 964-3284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1624 E Main St
Ventura, CA 93001-3308

Mailing address

1624 E Main St
Ventura, CA 93001-3308
Phone (805) 641-2004

Other names 1

  • Connected Health Centers Doing business as

National Provider Directory

National Provider Directory

Locations

1624 E Main St
Ventura, CA 93001
Phone (805) 641-2004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1861970121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013308",
            "telephone_number": "805-641-2004",
            "fax_number": "805-641-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013308",
            "telephone_number": "805-641-2004",
            "fax_number": "805-641-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC VENTURA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-964-3284"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connected Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 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.