Organization Active NPI

Ventana Medical Group, Apc

  • Obstetrics & Gynecology Physician
  • Campbell, CA
National Provider Identifier
1871630541
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00G602961 Issued in CA
Legal business name
VENTANA MEDICAL GROUP, APC
Practice address
476 E Campbell Ave
Campbell, CA 95008-2142
Phone
(408) 378-1888
Fax
(408) 378-5830
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Liz Avila
Title
Billing Coordinator
Phone
(408) 378-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 00G602961 CA Primary

Addresses

Primary practice location

476 E Campbell Ave
Campbell, CA 95008-2142

Mailing address

476 E Campbell Ave
Campbell, CA 95008-2142
Phone (408) 378-1888

National Provider Directory

National Provider Directory

Locations

476 E Campbell Ave
Campbell, CA 95008
Phone (408) 370-9098

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1871630541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082142",
            "telephone_number": "408-378-1888",
            "fax_number": "408-378-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082142",
            "telephone_number": "408-378-1888",
            "fax_number": "408-378-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTANA MEDICAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "408-378-1888"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "00G602961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

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