Com Fam Pract Urgent

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C39479 Issued in CA

Legal business name

COM FAM PRACT URGENT

Practice address

2715 E Main St
Ventura, CA 93003-2803

Phone

(805) 648-5268

Fax

(805) 648-5260

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael S Datlow, MD

Title

MD

Phone

(805) 648-5268

Specialties & licenses 1

Addresses

Other identifiers 1

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 1

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

• Brittni Nicole Vogel, PA-C

  • Physician Assistant
  • San Francisco, CA
  • NPI 1750853537
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1972702702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032803",
            "telephone_number": "805-648-5268",
            "fax_number": "805-648-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032803",
            "telephone_number": "805-648-5268",
            "fax_number": "805-648-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COM FAM PRACT URGENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "DATLOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "805-648-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C39479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C394790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Bergen Collins-Smith, M,A., MFTI
• Kaylin Collins
• Mariza Mendes Collins, LVN
• Jacob Colmenares
• Bryce Colvard
• Community Imaging Medical Group Inc
• Community Memorial Health System
• Community Memorial Health System
• Community Memorial Health System
• Community Memorial Health System (Community Memorial Hospital of San Buenaventura Outpatient Pharmacy)

• Family Medicine Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.