Individual provider Active NPI

Reta Bidi, PA-C

  • Medical Physician Assistant
  • Oak View, CA
National Provider Identifier
1871374264
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
655 Ventura Ave
Oak View, CA 93022-9655
Phone
(805) 649-3750
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

655 Ventura Ave
Oak View, CA 93022-9655

Mailing address

3959 Telegraph Rd
Ventura, CA 93003-3636
Phone (951) 491-1042

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
I20240119003401 CA Practitioner - Physician Assistant 8426400904 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Feb 1, 2024 Accepting new patients
Community Memorial Health System CurrentSince Feb 1, 2024 Accepting new patients
Frontline Healthcare Endocrinology LLC CurrentSince Oct 13, 2025 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

655 Ventura Ave
Oak View, CA 93022
Phone (805) 649-3750

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

555 Marin St
Ste 120
Thousand Oaks, CA 91360
Phone (805) 449-1111

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

Interoperability endpoints

  • Direct secure messaging: rbidi3509247@oc.providencedirect.org
  • Direct secure messaging: retabidi@cfh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1871374264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033636",
            "telephone_number": "951-491-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 VENTURA AVE",
            "city": "OAK VIEW",
            "state": "CA",
            "postal_code": "930229655",
            "telephone_number": "805-649-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDI",
        "first_name": "RETA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak View, CA

Sources for this page

Verify at the official NPI Registry.