KATHLEEN BEUTTLER (NPI# 1669416103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669416103 |
| Entity Type | Individual |
| Full Name | KATHLEEN BEUTTLER |
| Credential | M.D. |
| Practice Address |
3085 Loma Vista Rd Ventura CA 93003-2916 |
| Practice Telephone | 8056483085 |
| Practice Fax Number | 8056487027 |
| Mailing Telephone | 8056483085 |
| Mailing Fax Number | 8056487027 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | C41709 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DMERC | WC41709B | 01 |
| CA | CHAMPUS | C417090 | 01 |
| CA | BLUE SHIELD | C417090 | 01 |
| CA | RAILROAD MEDICARE | 180036165 | 01 |
| CA | US DEPT. OF LABOR | 205153800 | 01 |
| CA | GR0076890 | 05 |
| Street Address |
3085 LOMA VISTA RD |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697910 | Adam Martidis | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2005-05-23 |
| 1346737467 | Terry Yu | Optometrist | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2018-04-14 |
| 1366895062 | Doanh Nguyen | Optometrist | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2016-07-18 |
| 1295116127 | Arezu Haghighi | Internal Medicine | 3085 Loma Vista Rd, Ventura, CA 93003-2999 | 2015-06-16 |
| 1811230766 | Daniel Rahul Agarwal | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003-2999 | 2013-03-28 |
| 1528355799 | Sanket U Shah | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003 | 2011-07-07 |
| 1639496953 | Joseph Juyo Chen | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2010-04-26 |
| 1336309681 | Ashish Toor | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2008-06-10 |
| 1396927729 | Noelene Kin Yun Pang | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2007-11-27 |
| 1487774949 | Anya Ann Trumler-sebring | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2007-03-29 |
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| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338737 | Felicia J Lew, Od, Optometric Corporation | Ophthalmology | 3160 Telegraph Rd Ste 206, Ventura, CA 93003-3257 | 2019-10-23 |
| 1255771176 | James W Mckinzie | Ophthalmology | 3124 Solimar Beach Dr, Ventura, CA 93001-9756 | 2013-06-25 |
| 1811254717 | Peter Gills Weiner | Ophthalmology | 879 High Point Dr, Ventura, CA 93003-1412 | 2012-04-16 |
| 1275620353 | Thomas C Lee | Ophthalmology | 3291 Loma Vista Rd Bldg 340, Suite 302, Ventura, CA 93003-3099 | 2006-10-09 |
| 1477573319 | Jeffrey K Luttrull | Ophthalmology | 3160 Telegraph Rd., #230, Ventura, CA 93003-3233 | 2006-07-21 |
| 1104860691 | Bryant Jay Lum | Ophthalmology | 3088 Telegraph Rd, Suite A, Ventura, CA 93003-3234 | 2006-06-15 |
| 1174598239 | Steven David Chang | Ophthalmology | 3160 Telegraph Rd, Suite 102, Ventura, CA 93003-3233 | 2006-02-22 |
| 1881697910 | Adam Martidis | Ophthalmology | 3085 Loma Vista Rd, Ventura, CA 93003-2916 | 2005-05-23 |
| 1346744125 | Ventura Institute of Ophthalmology Inc | Ophthalmology | 1280 S Victoria Ave Ste 160, Ventura, CA 93003-6504 | 2018-03-19 |
| 1629580055 | Ventura Eye Associates Inc | Ophthalmology | 1280 S Victoria Ave Ste 160, Ventura, CA 93003-6504 | 2017-10-25 |
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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.