Active NPI
County of Ventura
Doing business as Ventura County Healthcare for the Homeless Program
- Federally Qualified Health Center (FQHC)
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- H80CS00247
- Legal business name
- COUNTY OF VENTURA
- Doing business as
- Ventura County Healthcare for the Homeless Program
- Practice address
- 3147 Loma Vista Rd
Ventura, CA 93003-2917 - Phone
- (058) 652-6694
- Fax
- (805) 652-6298
- NPI assigned
- Aug 5, 2011
- 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 | CA | Primary |
Addresses
Primary practice location
3147 Loma Vista Rd
Ventura, CA 93003-2917
Mailing address
800 S Victoria Ave # L4615
Ventura, CA 93009-0003
Phone (805) 677-5210
Other names 1
- Ventura County Healthcare for the Homeless Program
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120514000767 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 7911810171 | Practice locations: Ventura, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982983169. Details of each certification follow.
Federally qualified health center certification: CCN 551141
- Legal name
- COUNTY OF VENTURA
- Doing business as
- VENTURA COUNTY HEALTHCARE FOR THE HOMELESS PROGRAM
- Organization structure
- Government
- Enrollment address
- 3147 Loma Vista Rd
Ventura, CA 93003-2917
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 12
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 - 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 Las Posas Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1982846366
-
- Rehabilitation Clinic/Center
- Oxnard, CA
- NPI 1942312194
-
- Community/Behavioral Health Agency
- Thousand Oaks, CA
- NPI 1962610147
-
- Community/Behavioral Health Agency
- Ventura, CA
- NPI 1912111568
Locations
3147 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-5754
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Barry Zimmerman | Corporate Director | Mar 11, 2021 | |
| W-2 Managing Employee | Mar 11, 2021 | ||
| County of Ventura | 5% Or Greater Direct Ownership Interest | Jan 24, 2013 | 100% |
Owners & managing parties with NPI records 20
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba John K. Flynn Community Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1043451982
5% Or Greater Direct Ownership Interest
-
dba Fillmore Family Medical Group FQHC
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1134360076
5% Or Greater Direct Ownership Interest
-
- State or Local Public Health Clinic/Center
- Oxnard, CA
- NPI 1134658644
5% Or Greater Direct Ownership Interest
-
dba Las Islas Mobile
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1154600336
5% Or Greater Direct Ownership Interest
-
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
-
dba Las Islas Family Medical Group
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1508187329
5% Or Greater Direct Ownership Interest
-
dba Public Health Services
- Public Health or Welfare Agency
- Oxnard, CA
- NPI 1528275351
5% Or Greater Direct Ownership Interest
-
dba Mandalay Bay Women & Childrens FQHC
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1538300488
5% Or Greater Direct Ownership Interest
-
dba Santa Paula Hospital Clinic FQHC
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1548401409
5% Or Greater Direct Ownership Interest
-
dba Pediatric Diagnostic Center FQHC
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1619118569
5% Or Greater Direct Ownership Interest
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 |
| Las Posas Family Medical Group | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Feb 19, 2014 Jan 1, 2013 |
| 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 |
| 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": "1312502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1982983169",
"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": "930090003",
"telephone_number": "805-677-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3147 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032917",
"telephone_number": "058-652-6694",
"fax_number": "805-652-6298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF VENTURA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VENTURA COUNTY MEDICAL CENTER",
"enumeration_date": "2011-08-05",
"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",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ventura County Healthcare for the Homeless Program",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ventura County Healthcare for the Homeless Program",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ventura, CA
- County of Ventura (Ventura County Medical Center)
- County of Ventura
- County of Ventura (VCBH - Ralston Adult Mental Health)
- County of Ventura (Academic Family Medicine Center)
- County of Ventura (VCBH - Ventura Substance Use Services)
- County of Ventura Area Agency on Aging
- Jill Covell Bonilla
- Tania Michelle Covey
- Stephen D Covington, MD
- Sue W Cox, LMFT
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.