VENTURA COUNTY PODIATRIC MEDICAL GROUP INC (NPI# 1215591920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215591920 |
| Entity Type | Organization |
| Organization Name | VENTURA COUNTY PODIATRIC MEDICAL GROUP INC |
| Other Organization Name | COASTAL FOOT AND ANKLE |
| Practice Address |
711 N A Street Oxnard CA 93030-4309 |
| Mailing Address |
451 W Gonzales Rd Ste 260 Oxnard CA 93036-0729 |
| Practice Telephone | 8059830222 |
| Practice Fax Number | 8056049872 |
| Mailing Telephone | 8054856708 |
| Mailing Fax Number | 8052782299 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | SCOT ROBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8054856708 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA STATE LICENSE | E3640 | 01 |
| Other Name | Type Code |
|---|---|
| Coastal Foot and Ankle | Doing Business As Name - Organization |
| Coastal Foot and Ankle Group | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 134 N 10th St, Santa Paula, CA 930602803 | 8059331313 |
| Street Address |
711 N A STREET |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093161903 | Dylan Roberg | Podiatrist | 451 W Gonzales Rd Ste 260, Oxnard, CA 93036-0729 | 2016-05-10 |
| 1710186655 | Ronald Belczyk | Podiatrist | 903 W 7th St, Oxnard, CA 93030-6755 | 2007-07-11 |
| 1740257609 | Andrew Reza Langroudi | Podiatrist | 2100 Solar Dr., Suite #102, Oxnard, CA 93036 | 2006-02-28 |
| 1215543400 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 903 W 7th St, Oxnard, CA 93030-6755 | 2020-09-22 |
| 1558713420 | Renee Elizabeth Shepherd | Podiatrist | 903 W 7th St, Oxnard, CA 93030-6755 | 2016-07-05 |
| 1114377017 | Anh My Nguyen | Podiatrist | 711 N A St, Oxnard, CA 93030-4309 | 2016-06-21 |
| 1295102887 | Alex Dawoodian | Podiatrist | 903 W 7th St, Oxnard, CA 93030-6755 | 2015-08-31 |
| 1063540235 | Anthony W. Le, D.p.m., Inc. | Podiatrist | 945 W 7th St, Oxnard, CA 93030-6756 | 2007-03-01 |
| 1184720757 | Tim The Nguyen | Podiatrist | 1851 Holser Walk, Ste 217, Oxnard, CA 93036-2626 | 2006-09-14 |
| 1619907284 | Steven M Vines | Podiatrist | 451 W Gonzales Rd, Ste 260, Oxnard, CA 93036-9004 | 2006-07-03 |
| 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.