BUENAVENTURA MEDICAL GROUP (NPI# 1265462246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265462246 |
| Entity Type | Organization |
| Organization Name | BUENAVENTURA MEDICAL GROUP |
| Other Organization Name | VENTURA MEDICAL MANAGEMENT |
| Practice Address |
888 S Hill Rd Ventura CA 93003-8400 |
| Mailing Address |
2590 E Main St Ventura CA 93003-2619 |
| Practice Telephone | 8054776464 |
| Practice Fax Number | 8054776498 |
| Mailing Telephone | 8054776464 |
| Mailing Fax Number | 8054776498 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES G MALONE (CEO) |
| Authorized Official Telephone | 8054776220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0070650 | 05 |
| Other Name | Type Code |
|---|---|
| Ventura Medical Management | Other Name - Individual/Organization |
| Street Address |
888 S HILL RD |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330399 | Karen D Lockwood | Internal Medicine | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-03-15 |
| 1538608963 | Karen Fitzgerald | Pharmacist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2017-02-17 |
| 1619415791 | Lisa Nguyen | Pharmacist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2017-02-08 |
| 1992111744 | Jacob Alan Dodge | Family Medicine | 888 S Hill Rd, Ventura, CA 93003-8400 | 2014-07-01 |
| 1689089526 | John Riggs | Family Medicine | 888 S Hill Rd, Ventura, CA 93003 | 2014-06-30 |
| 1659571552 | Jennifer Schneider | Physical Therapist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2007-07-19 |
| 1487764643 | Chelsea Management, Inc. | Pharmacy | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-08-30 |
| 1063525897 | Catherine M Hurley | Pediatrics | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-08-16 |
| 1316965239 | Leck Read | Family Medicine | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-18 |
| 1811916299 | Erin Anderson | Physical Therapist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922510221 | Community Physicians of Ventura County | Clinic/Center | 168 N Brent St Ste 403b, Ventura, CA 93003-2824 | 2017-10-26 |
| 1700303633 | Community Memorial Health System | Clinic/Center | 168 N Brent Street, 302, Ventura, CA 93003 | 2017-08-22 |
| 1922541887 | Joshua Tree Healthcare, Inc. | Clinic/Center | 1732 Palma Dr, #108, Ventura, CA 93003-5796 | 2016-11-28 |
| 1083001010 | Community Memorial Health System | Clinic/Center | 2721 E Main St, Ventura, CA 93003-2803 | 2015-04-16 |
| 1114111309 | Community Memorial Health System | Clinic/Center | 120 N Ashwood Ave, Ventura, CA 93003-1810 | 2007-08-30 |
| 1295773224 | Community Memorial Health System | Clinic/Center | 138 W Main St, Suite E, Ventura, CA 93001-2584 | 2006-06-03 |
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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.