PMK Medical Group, Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

PMK MEDICAL GROUP, INC.

Doing business as

Ventura County Hematology Oncology Specialists

Practice address

1700 N Rose Ave Ste 320
Oxnard, CA 93030-7648

Phone

(805) 485-8709

Fax

(805) 485-5521

NPI assigned

May 24, 2005

Last updated

May 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Rivera, MBA

Title

Finance & Quality Officer

Phone

(805) 485-8709

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Ventura County Hematology Oncology Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 15

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.

• Chirag Dalsania, M.D.

  • Hematology & Oncology Physician
  • Oxnard, CA
  • NPI 1215026380
  Medicare reassignment Care Compare group NPD
• Fariborz Mortazavi, M.D.

  • Hematology & Oncology Physician
  • Oxnard, CA
  • NPI 1689782708
  Medicare reassignment Care Compare group NPD
• Ariele Anuva Andalon, PA-C

  • Physician Assistant
  • Oxnard, CA
  • NPI 1043030067
  Medicare reassignment Care Compare group
• Kevin Q Chang, MD

  • Hematology & Oncology Physician
  • Oxnard, CA
  • NPI 1649219452
  Medicare reassignment Care Compare group
• Lynn R Kong, MD

  • Hematology & Oncology Physician
  • Ventura, CA
  • NPI 1952356933
  Medicare reassignment Care Compare group
• Nicole Ann Pablo

  • Medical Physician Assistant
  • Oxnard, CA
  • NPI 1952929887
  Medicare reassignment Care Compare group
• Todd James Yates, D.O.

  • Hematology & Oncology Physician
  • Oxnard, CA
  • NPI 1710197447
  Medicare reassignment Care Compare group
• Baijia Jiang, M.D.

  • Hematology & Oncology Physician
  • Anaheim, CA
  • NPI 1922495514
  Medicare reassignment NPD
• Ann Kelley Salahuddin

  • Hematology & Oncology Physician
  • Ventura, CA
  • NPI 1053350231
  Medicare reassignment NPD
• Emily Katherine Young, PA-C

  • Medical Physician Assistant
  • Oxnard, CA
  • NPI 1194067181
  Medicare reassignment
• Stefania Villanueva

  • Physician Assistant
  • Oxnard, CA
  • NPI 1295611341
  NPD
• Kathryn H. Burnham, PA

  • Medical Physician Assistant
  • Oxnard, CA
  • NPI 1821058355
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1962405860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "STE 320",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307648",
            "telephone_number": "805-485-8709",
            "fax_number": "805-485-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 320",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307648",
            "telephone_number": "805-485-8709",
            "fax_number": "805-485-5521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Partridge Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930030712",
            "country_code": "US",
            "telephone_number": "805-643-4283",
            "fax_number": "805-643-0604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Las Posas Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101425",
            "country_code": "US",
            "telephone_number": "805-383-1567",
            "fax_number": "805-383-1569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PMK MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "FINANCE & QUALITY OFFICER",
        "authorized_official_telephone_number": "805-485-8709",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NPDS",
            "identifier": "5628497",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W13337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "ZZZ45387Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura County Hematology Oncology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Planned Parenthood California Central Coast
• Pleasant Valley Familydental
• Jose Mauricio Pleitez, M.D.
• Roselynn Rachel Plevack, AUD
• Beverly Pluche, NURSE PRACTITIONER
• Barbara Poitras
• Akanksha Polamarasetty
• Kimberlee Shawtay Polite, LVN
• Michael Steven Pollack, DDS
• Benjamin Jonathan Ponce

• Hematology & Oncology Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.