NPIMap

Organization Active NPI

County of Ventura

  • Federally Qualified Health Center (FQHC)
  • Ventura, CA
National Provider Identifier
1982983169
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
H80CS00247 Issued in CA
Legal business name
COUNTY OF VENTURA
Practice address
3147 Loma Vista Rd
Ventura, CA 93003-2917
Phone
(058) 652-6694
Fax
(805) 652-6298
NPI assigned
Aug 5, 2011
Organization subpart
Yes
Parent organization
VENTURA COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120514000767 CA Part A Provider - Federally Qualified Health Center (FQHC) 7911810171 Practice locations: Ventura, CA

Federally qualified health center certification: CCN 551141

Legal name
COUNTY OF VENTURA
Doing business as
VENTURA COUNTY HEALTHCARE FOR THE HOMELESS PROGRAM
Organization structure
GovernmentProprietary
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).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Penfield Mtu84 organizations share this tax ID, including this one
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.

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.

NameRoleSinceShare
Barry Zimmerman Individual Corporate DirectorDirector Mar 11, 2021
W-2 Managing Employee Mar 11, 2021
County of Ventura Organization, Ventura, CA 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.

View all 20

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ventura County Medical CenterVentura, CA, CCN 050159 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Aug 18, 2010
Magnolia Family Medical GroupOxnard, CA, CCN 051173 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 FQHCThousand Oaks, CA, CCN 051179 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 29, 1994
Las Islas Family Medical Group NorthOxnard, CA, CCN 051183 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 24, 2013
Aug 18, 2010
Fillmore Family Medical GroupFillmore, CA, CCN 551048 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 ClinicOxnard, CA, CCN 051182 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 GroupCamarillo, CA, CCN 051189 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Feb 19, 2014
Jan 1, 2013
Sierra Vista Family Medical ClinicSimi Valley, CA, CCN 051176 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 8, 2013
Aug 18, 2010
Santa Paula Hospital ClinicSanta Paula, CA, CCN 051180 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 24, 2013
Aug 18, 2010
Pediatric Diagnostic CenterVentura, CA, CCN 051186 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 8, 2013
Aug 18, 2010
Santa Paula WestSanta Paula, CA, CCN 051178 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 8, 2013
Moorpark Family Medical GroupMoorpark, CA, CCN 051188 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2008
Mandalay Bay Womens & ChildrensOxnard, CA, CCN 051174 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 24, 2013
Aug 18, 2010
Santa Paula Medical ClinicSanta Paula, CA, CCN 051181 Federally qualified health center 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2013
West Ventura Medical ClinicVentura, CA, CCN 051177 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 IIOxnard, CA, CCN 551063 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 24, 2013
Aug 18, 2010
Magnolia WestOxnard, CA, CCN 751047 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.

  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Oxnard, CA
    • NPI 1043451982

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Fillmore, CA
    • NPI 1134360076

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Moorpark, CA
    • NPI 1174764021

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Thousand Oaks, CA
    • NPI 1316188253

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Simi Valley, CA
    • NPI 1386886117

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Oxnard, CA
    • NPI 1508187329

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Oxnard, CA
    • NPI 1538300488

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Santa Paula, CA
    • NPI 1548401409

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Ventura, CA
    • NPI 1619118569

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • General Acute Care Hospital
    • Ventura, CA
    • NPI 1629167457

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Oxnard, CA
    • NPI 1669738159

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ventura
    • Federally Qualified Health Center (FQHC)
    • Ventura, CA
    • NPI 1780821660

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 17

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

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

Sources for this page

Verify at the official NPI Registry.