Active NPI
Mark Allen Chaney, A.T.C.
- Specialist
- Ventura, CA
National Provider Identifier
1912973777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 786554
- Practice address
- 4667 Telegraph Rd
Ventura, CA 93003-3872 - Phone
- (805) 654-6385
- Fax
- (805) 654-6328
- NPI assigned
- Feb 23, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 786554 | OR | Primary |
Addresses
Primary practice location
4667 Telegraph Rd
Ventura, CA 93003-3872
Mailing address
306 Colusa Ave
Ventura, CA 93004-1127
Phone (805) 659-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 786554 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912973777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 COLUSA AVE",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041127",
"telephone_number": "805-659-0313",
"fax_number": "805-654-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4667 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033872",
"telephone_number": "805-654-6385",
"fax_number": "805-654-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "786554",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.