Organization Active NPI

Internal Medicine of Ventura

  • Internal Medicine Physician
  • Ventura, CA
National Provider Identifier
1902486517
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE OF VENTURA
Practice address
227 N Dos Caminos Ave
Ventura, CA 93003-1660
Phone
(805) 914-5808
Fax
(805) 702-4135
NPI assigned
Apr 9, 2021
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Becky Wade, MDNPI 1992869986
Title
Employee Partner
Phone
(805) 914-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

227 N Dos Caminos Ave
Ventura, CA 93003-1660

Mailing address

3901 Las Posas Rd Ste 103
Camarillo, CA 93010-1505
Phone (805) 914-5808

Other practice location 1

2629 Loma Vista Rd
Ventura, CA 93003-1548
Phone (805) 914-5808

Other practice location 2

3901 Las Posas Rd Ste 103
Camarillo, CA 93010-1505
Phone (805) 750-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609000001 CA Part B Supplier - Clinic/Group Practice 2466852710 Receives reassigned benefits from 6 practitioners
Practice locations: Camarillo, CA; Ventura, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2232796Internal Medicine of Ventura3901 Las Posas Rd #103, Camarillo, CA 93010Certificate of waiverAug 16, 2027
05D2332079Internal Medicine of Ventura227 N Dos Caminos Avenue, Ventura, CA 93003Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory

Locations

3901 Las Posas Rd
Ste 103
Camarillo, CA 93010
Phone (805) 702-4131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24069/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1902486517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD STE 103",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101505",
            "telephone_number": "805-914-5808",
            "fax_number": "805-702-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N DOS CAMINOS AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031660",
            "telephone_number": "805-914-5808",
            "fax_number": "805-702-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2629 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031548",
            "country_code": "US",
            "telephone_number": "805-914-5808",
            "fax_number": "805-702-4135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Las Posas Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101505",
            "country_code": "US",
            "telephone_number": "805-750-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF VENTURA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "EMPLOYEE PARTNER",
        "authorized_official_telephone_number": "805-914-5808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.