JONATHAN MARK VAN RAVENSWAAY (NPI# 1154768588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154768588 |
| Entity Type | Individual |
| Full Name | JONATHAN MARK VAN RAVENSWAAY |
| Practice Address |
325 W Channel Islands Blvd Oxnard CA 93033-4501 |
| Mailing Address |
Po Box 140968 Anchorage AK 99514-0968 |
| Practice Telephone | 8052049500 |
| Mailing Telephone | (805) 323-5035 |
| Mailing Fax Number | 8053235035 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A133945 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Palma Dr Fl 2, Ventura, CA 930036451 | (805) 323-5035 | 8053235035 |
| Street Address |
325 W CHANNEL ISLANDS BLVD |
| City | OXNARD |
| State | CA |
| Zip Code | 93033-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942364427 | Susan Johnson | Family Medicine | 325 W Channel Islands Blvd, Oxnard, CA 93033-4501 | 2006-12-20 |
| 1720447568 | County of Ventura | Clinic/Center | 325 W Channel Islands Blvd, Oxnard, CA 93033-4501 | 2016-02-22 |
| 1568640720 | Thomas Y Wu | Orthopaedic Surgery | 325 W Channel Islands Blvd, Oxnard, CA 93033-4501 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462332 | Andy Luu | Physical Therapist | Two Trees 2051 Statham Blvd, Oxnard, CA 93033 | 2019-11-22 |
| 1568004661 | Martha Hughes | Technician | 615 East Juniper St, Oxnard, CA 93033 | 2019-10-10 |
| 1093232985 | Elena Martinez | Student in an Organized Health Care Education/Training Program | 226 E Fir Ave, Oxnard, CA 93033 | 2017-08-23 |
| 1083140248 | Mara Andrea Sibucao | Licensed Vocational Nurse | 4201 Justin Way, Oxnard, CA 93033 | 2017-05-10 |
| 1477915023 | Maria Guadalupe Castro | Counselor | 1710 San Marino St., Oxnard, CA 93033 | 2016-03-23 |
| 1356709760 | Guadalupe Cervantes-ortiz | Marriage & Family Therapist | 401 Mary Herrera Ln. Apt. B, Oxnard, CA 93033 | 2016-02-01 |
| 1457718850 | Jeff Segovia | Community Health Worker | 4651 Telephone Rd, Suite 300, Ventura, CA 93033 | 2016-01-15 |
| 1083079867 | Reynaldo Concepcion | Registered Nurse | 200 Hillmont Avenue, Ventura, CA 93033 | 2015-12-22 |
| 1235548892 | Daisy V Kerr | Counselor | 135 Lark St, Oxnard, CA 93033 | 2014-08-07 |
| 1508187329 | County of Ventura | Clinic/Center | 325 W. Channel Islands Blvd., Oxnard, CA 93033 | 2010-06-16 |
| Find all providers in zip 93033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597430 | Raymond F Lopez Jr Md A Professional Corporation | Family Medicine | 933 W 7th St, Oxnard, CA 93030-6755 | 2020-08-06 |
| 1841714334 | Catherine Alexandra Sundloff | Family Medicine | 2220 E Gonzales Rd Ste 120, Oxnard, CA 93036-3707 | 2017-07-27 |
| 1851794226 | Osf Medical Group of California, Inc. | Family Medicine | 640 S B St, Oxnard, CA 93030-7142 | 2014-09-30 |
| 1285983494 | Henry K. Liao, Md Incorporated | Family Medicine | 1532 Saviers Road, Oxnard, CA 93033-1737 | 2012-09-04 |
| 1962772491 | Khoi Dinh Nguyen | Family Medicine | 905 South A Street, Suite #1, Oxnard, CA 93030-9252 | 2011-12-30 |
| 1598076424 | Paul C. Algra | Family Medicine | 1751 Lombard Street, #a, Oxnard, CA 93030 | 2010-06-25 |
| 1487984670 | Brian Bai Clinic | Family Medicine | 1200 N Ventura Rd Ste A, Oxnard, CA 93030-3827 | 2010-01-11 |
| 1851521207 | Mish Pearl | Family Medicine | 2240 E Gonzales Rd Unit 120, Oxnard, CA 93036 | 2009-07-20 |
| 1316108053 | Darin Chambers | Family Medicine | 2400 S C St, Oxnard, CA 93033 | 2008-06-24 |
| 1144424102 | Brian C Bai | Family Medicine | 331 S C St, Ste A., Oxnard, CA 93030-5824 | 2007-06-13 |
| Find all providers in OXNARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.