Individual provider Active NPI

Sydnee Alise Isom

  • Physician Assistant
  • Oxnard, CA
National Provider Identifier
1922866706
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67122 Issued in CA
Practice address
1901 Holser Walk Ste 305
Oxnard, CA 93036-2633
Phone
(805) 485-2824
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67122 CA Primary

Addresses

Primary practice location

1901 Holser Walk Ste 305
Oxnard, CA 93036-2633

Mailing address

557 Mockingbird LN
Fillmore, CA 93015-1685
Phone (805) 754-0381

Other practice location 1

75 E Thousand Oaks Blvd Ste E
Thousand Oaks, CA 91360-5767
Phone (805) 288-1199

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
I20251218002150 CA Practitioner - Physician Assistant 4981199817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

2721 E Main St
Ventura, CA 93003-2803
Phone (805) 667-2841

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA67122CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Jan 1, 2026 Accepting new patients
Community Memorial Health System CurrentSince Jan 1, 2026 Accepting new patients
Agile Occupational Medicine, PC PastSince Aug 3, 2025 Accepting new patients

Locations

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

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

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

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

2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272

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

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1922866706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 MOCKINGBIRD LN",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151685",
            "telephone_number": "805-754-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HOLSER WALK STE 305",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362633",
            "telephone_number": "805-485-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E Thousand Oaks Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913605767",
            "country_code": "US",
            "telephone_number": "805-288-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISOM",
        "first_name": "SYDNEE",
        "middle_name": "ALISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.