Individual provider Active NPI

Karen Anabel Acevedo, NP

  • Pediatric Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1861974925
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95009756 Issued in CA
Practice address
300 Hillmont Ave Ste 302
Ventura, CA 93003-1651
Phone
(805) 652-6255
NPI assigned
Sep 5, 2018
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95009756 CA Primary

Addresses

Primary practice location

300 Hillmont Ave Ste 302
Ventura, CA 93003-1651

Mailing address

300 Hillmont Ave Ste 302
Ventura, CA 93003-1651
Phone (805) 652-6255

Other practice location 1

726 N Medical Center Dr E Ste 209
Clovis, CA 93611-6886
Phone (559) 325-5656

Other practice location 2

125 W Thousand Oaks Blvd
Thousand Oaks, CA 91360-4402
Phone (805) 418-9100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218001352 CA Practitioner - Nurse Practitioner 4688919764 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Jun 14, 2024 Accepting new patients
County of Ventura CurrentSince Jun 16, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Jun 14, 2024 Accepting new patients
Community Health Partners CurrentSince Nov 1, 2020 Accepting new patients

Locations

726 N Medical Center Dr E
Ste 209
Clovis, CA 93611
Phone (559) 325-5656

215 N Fresno St
Ste 370
Fresno, CA 93701
Phone (559) 459-2327

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

125 W Thousand Oaks Blvd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 418-9100

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

300 Hillmont Ave
Ste 302
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1861974925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE STE 302",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE STE 302",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 N Medical Center Dr E Ste 209",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116886",
            "country_code": "US",
            "telephone_number": "559-325-5656",
            "fax_number": "559-325-5568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Thousand Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913604402",
            "country_code": "US",
            "telephone_number": "805-418-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "KAREN",
        "middle_name": "ANABEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95009756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.