Organization Active NPI

Ideal Women's Health Specialists

  • Obstetrics & Gynecology Physician
  • Ventura, CA
National Provider Identifier
1912443300
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G080945 Issued in CA
Legal business name
IDEAL WOMEN'S HEALTH SPECIALISTS
Practice address
2945 Loma Vista Rd
Ventura, CA 93003-2915
Phone
(805) 509-3129
Fax
(805) 667-8404
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Srisawai Pattamakom, M.D.NPI 1114031648
Title
Owner
Phone
(805) 509-3129

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G080945 CA Primary

Addresses

Primary practice location

2945 Loma Vista Rd
Ventura, CA 93003-2915

Mailing address

2945 Loma Vista Rd
Ventura, CA 93003-2915
Phone (805) 509-3129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1912443300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032915",
            "telephone_number": "805-509-3129",
            "fax_number": "805-667-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032915",
            "telephone_number": "805-509-3129",
            "fax_number": "805-667-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL WOMEN'S HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "PATTAMAKOM",
        "authorized_official_first_name": "SRISAWAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-509-3129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G080945",
            "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 Jan 10, 2017; 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.