NPIMap

Organization Active NPI

Pdap of Ventura County

  • Addiction (Substance Use Disorder) Counselor
  • Oak View, CA
National Provider Identifier
1932229630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
040970 Issued in CA
Legal business name
PDAP OF VENTURA COUNTY
Practice address
10738 Encino Dr
Oak View, CA 93022-9238
Phone
(805) 233-4939
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia A Wallace, CATC, CAMFNPI 1447553300
Title
Counselor
Phone
(805) 482-1265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 040970 CA Primary

Addresses

Primary practice location

10738 Encino Dr
Oak View, CA 93022-9238

Mailing address

10738 Encino Dr
Oak View, CA 93022-9238
Phone (805) 233-4939

Other identifiers 1

IdentifierTypeStateIssuer
040970OtherCACOUNSELOR

National Provider Directory

National Provider Directory
Tax ID family
Pdap of Ventura County11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the 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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932229630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 ENCINO DR",
            "city": "OAK VIEW",
            "state": "CA",
            "postal_code": "930229238",
            "telephone_number": "805-233-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 ENCINO DR",
            "city": "OAK VIEW",
            "state": "CA",
            "postal_code": "930229238",
            "telephone_number": "805-233-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDAP OF VENTURA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "805-482-1265",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CATC, CAMF"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "040970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR",
            "identifier": "040970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.