KARI LYNN ODENATH (NPI# 1497766273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497766273 |
| Entity Type | Individual |
| Full Name | KARI LYNN ODENATH |
| Credential | PA-C |
| Practice Address |
3525 Loma Vista Rd Ste A Ventura CA 93003-3165 |
| Mailing Address |
5720 Ralston St Ste 200 Ventura CA 93003-7844 |
| Practice Telephone | 8056416415 |
| Practice Fax Number | 8056416424 |
| Mailing Telephone | 8058044168 |
| Mailing Fax Number | 8058301177 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA18455 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18455 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
18455 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | PA18455 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Las Posas Rd Ste 4, Camarillo, CA 930101502 | 8055855166 | 8053831786 |
| Street Address |
3525 LOMA VISTA RD STE A |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975679 | Gabriel Gluck | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2005-07-13 |
| 1730653866 | Joseph Paul Amis | Physician Assistant | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2019-01-11 |
| 1891144952 | Sean Michael Husted | Physical Therapist | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2016-06-09 |
| 1932499332 | Sohrab Pahlavan | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2011-04-19 |
| 1811296890 | Elizabeth Erin Worthley | Physician Assistant | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2011-03-16 |
| 1205090289 | Kentaro Pressly Suzuki | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2008-07-18 |
| 1538336573 | Joshua Saul Gluck | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2008-05-09 |
| 1962681718 | Jason Kent Hofer | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2007-10-29 |
| 1871547315 | Ventura Orthopedics Medical Group, Inc. | Specialist | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2006-05-20 |
| 1194781005 | Thomas John Horn | Orthopaedic Surgery | 3525 Loma Vista Rd Ste A, Ventura, CA 93003-3165 | 2006-04-21 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023118411 | John A. Huebner | Physician Assistant | 145 N Brent St, Suite 102, Ventura, CA 93003-2816 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
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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.