Active NPI
County of Ventura
Doing business as Las Posas Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- H80CS00247-06-03
- Legal business name
- COUNTY OF VENTURA
- Doing business as
- Las Posas Family Medical Group FQHC
- Practice address
- 3801 Las Posas Rd Ste 214
Camarillo, CA 93010-1426 - Phone
- (805) 437-0900
- Fax
- (805) 987-2878
- NPI assigned
- Mar 31, 2009
- Last updated
- Jul 19, 2024
- Organization subpart
- Yes
- Parent organization
- VENTURA COUNTY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Cho, MD
- Title
- Director
- Phone
- (805) 677-5290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | H80CS00247-06-03 | CA | Primary |
Addresses
Primary practice location
3801 Las Posas Rd Ste 214
Camarillo, CA 93010-1426
Mailing address
800 S Victoria Ave # L4615
Ventura, CA 93009-0001
Phone (805) 677-5210
Other names 1
- Las Posas Family Medical Group FQHC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090717000575 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 7911810171 | Practice locations: Camarillo, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982846366. Details of each certification follow.
Federally qualified health center certification: CCN 051189
- Legal name
- COUNTY OF VENTURA
- Doing business as
- LAS POSAS FAMILY MEDICAL GROUP
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 3, 2009
- Last certification
- Aug 3, 2009
- Ownership / control type
- Non-profit – corporation
- Organization structure
- Other
- Enrollment address
- 3801 Las Posas Rd 214
Camarillo, CA 93010-1426
Other NPIs with the same Medicare PAC ID 20
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba John K. Flynn Community Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1043451982
7911810171
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
7911810171
-
dba Las Islas Mobile
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1154600336
7911810171
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
7911810171
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
7911810171
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
7911810171
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
7911810171
-
dba Public Health Services
- Public Health or Welfare Agency
- Oxnard, CA
- NPI 1528275351
7911810171
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
7911810171
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
7911810171
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
7911810171
National Provider Directory
National Provider Directory- Tax ID family
- Penfield Mtu
- Part of
- Penfield Mtu
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Rehabilitation Clinic/Center
- Thousand Oaks, CA
- NPI 1922100072
-
dba VCBH - A New Start for Moms
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1891909511
-
dba VCBH - Conejo Valley Youth & Family Mental Health
- Community/Behavioral Health Agency
- Thousand Oaks, CA
- NPI 1902027972
-
dba Moorpark Family Medical Group / Moorpark College
- Student Health Clinic/Center
- Moorpark, CA
- NPI 1912306317
-
dba VCBH - North Oxnard Youth & Family Mental Health
- Community/Behavioral Health Agency
- Oxnard, CA
- NPI 1912690769
-
dba VCBH - Ralston Adult Mental Health
- Community/Behavioral Health Agency
- Ventura, CA
- NPI 1922792712
-
dba Santa Paula Medical Clinic
- Family Medicine Physician
- Santa Paula, CA
- NPI 1922881150
-
dba Academic Family Medicine Center
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1962313254
-
dba VCBH - Ventura Substance Use Services
- Community/Behavioral Health Agency
- Ventura, CA
- NPI 1982826046
-
dba Ventura County Healthcare for the Homeless Program
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1982983169
-
- Rehabilitation Clinic/Center
- Oxnard, CA
- NPI 1942312194
-
- Community/Behavioral Health Agency
- Thousand Oaks, CA
- NPI 1962610147
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Theresa Lynn Cho | Corporate Director | May 1, 2024 | |
| W-2 Managing Employee | May 1, 2024 | ||
| John Fankhauser | Corporate Officer | May 1, 2024 | |
| Tracy Champan | Corporate Director | Jun 25, 2024 | |
| W-2 Managing Employee | Jun 25, 2024 | ||
| County of Ventura | 5% Or Greater Direct Ownership Interest | Feb 19, 2014 | 100% |
| Operational/Managerial Control | Jan 1, 2013 |
Owners & managing parties with NPI records 22
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Ventura, CA
- NPI 1841353893
Corporate Director, W-2 Managing Employee
-
dba John K. Flynn Community Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1043451982
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- State or Local Public Health Clinic/Center
- Oxnard, CA
- NPI 1134658644
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Las Islas Mobile
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1154600336
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Public Health Services
- Public Health or Welfare Agency
- Oxnard, CA
- NPI 1528275351
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 17
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ventura County Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1966 Aug 18, 2010 |
| Magnolia Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Conejo Valley Family Medical Group FQHC | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 29, 1994 |
| Las Islas Family Medical Group North | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Fillmore Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| John K Flynn Community Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Sierra Vista Family Medical Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Santa Paula Hospital Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Pediatric Diagnostic Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Santa Paula West | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Mar 8, 2013 |
| Moorpark Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2008 |
| Mandalay Bay Womens & Childrens | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Santa Paula Medical Clinic | Federally qualified health center | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2013 |
| West Ventura Medical Clinic | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 8, 2013 Aug 18, 2010 |
| Las Islas Family Medical Group II | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 24, 2013 Aug 18, 2010 |
| Ventura County Healthcare for the Homeless Program | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 24, 2013 |
| Magnolia West | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2013 |
Owned or controlled facilities with NPI records 17
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba John K. Flynn Community Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1043451982
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
5% Or Greater Direct Ownership Interest
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
5% Or Greater Direct Ownership Interest
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Magnolia West
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1669738159
5% Or Greater Direct Ownership Interest
-
dba West Ventura Medical Clinic
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1780821660
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 17
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba John K. Flynn Community Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1043451982
County of Ventura
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
County of Ventura
-
dba Moorpark Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1174764021
County of Ventura
-
dba Conejo Valley Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
County of Ventura
-
dba Sierra Vista Family Medical Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1386886117
County of Ventura
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
County of Ventura
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
County of Ventura
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
County of Ventura
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
County of Ventura
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
County of Ventura
-
dba Magnolia West
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1669738159
County of Ventura
-
dba West Ventura Medical Clinic
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1780821660
County of Ventura
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1982846366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S VICTORIA AVE # L4615",
"city": "VENTURA",
"state": "CA",
"postal_code": "930090001",
"telephone_number": "805-677-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 LAS POSAS RD STE 214",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101426",
"telephone_number": "805-437-0900",
"fax_number": "805-987-2878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF VENTURA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VENTURA COUNTY MEDICAL CENTER",
"enumeration_date": "2009-03-31",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "805-677-5290",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "H80CS00247-06-03",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Las Posas Family Medical Group FQHC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Las Posas Family Medical Group FQHC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Camarillo, CA
- Cottage Clinical Network, LLC (Cottage Urgent Care)
- Michael E Couchman
- County of Ventura (VCBH - North Oxnard Adult Mental Health MD Satellite)
- County of Ventura (VCBH - Phoenix School)
- County of Ventura (Moorpark Family Medical Group / CSUCI)
- County of Ventura-HCA-BH-Adp Oxnard Center
- Mark Joseph Covault, MS OTR/L
- Alexa Rae Covey
- Claire Alexandra Cowley
- Hailey Cox
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.