Organization Active NPI

ENT Specialists & Surgeons of Southern California, a Medical Corp

  • Medical Specialty Clinic/Center
  • Camarillo, CA
National Provider Identifier
1932782893
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ENT SPECIALISTS & SURGEONS OF SOUTHERN CALIFORNIA, A MEDICAL CORP
Practice address
3687 Las Posas Rd Ste 187H
Camarillo, CA 93010-1431
Phone
(805) 309-0818
Fax
(805) 303-3915
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Saranya ReghunathanNPI 1811252968
Title
Ceo
Phone
(805) 309-0818

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3687 Las Posas Rd Ste 187H
Camarillo, CA 93010-1431

Mailing address

3687 Las Posas Rd Ste 187H
Camarillo, CA 93010-1431
Phone (805) 309-0818

Other practice location 1

3555 Loma Vista Rd Ste 100
Ventura, CA 93003-3161
Phone (805) 309-0818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210525002950 CA Part B Supplier - Clinic/Group Practice 4981003845 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA; Ventura, CA

National Provider Directory

National Provider Directory

Locations

3687 Las Posas Rd
Ste H187
Camarillo, CA 93010
Phone (805) 445-4189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1932782893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD STE 187H",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101431",
            "telephone_number": "805-309-0818",
            "fax_number": "805-303-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD STE 187H",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101431",
            "telephone_number": "805-309-0818",
            "fax_number": "805-303-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Loma Vista Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033161",
            "country_code": "US",
            "telephone_number": "805-309-0818",
            "fax_number": "805-303-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENT SPECIALISTS & SURGEONS OF SOUTHERN CALIFORNIA, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "REGHUNATHAN",
        "authorized_official_first_name": "SARANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-309-0818"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.