PDAP OF VENTURA COUNTY, INC. (NPI# 1790081966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790081966 |
| Entity Type | Organization |
| Organization Name | PDAP OF VENTURA COUNTY, INC. |
| Other Organization Name | PALMER DRUG ABUSE PROGRAM |
| Practice Address |
12039 Hertz Street Moorpark CA 93021 |
| Mailing Address |
450 Rosewood Ave Camarillo CA 93010-5914 |
| Practice Telephone | 8054821265 |
| Practice Fax Number | 8053895295 |
| Mailing Telephone | 8054851265 |
| Mailing Fax Number | 8053895295 |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |
| Authorized Official Name | VIRGINIA M. CONNELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8054821265 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | PDAP OF VENTURA COUNTY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 560015BN | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Palmer Drug Abuse Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629374699 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 1500 Temple Ave, Camarillo, CA 93010-3602 | 2011-02-08 |
| 1457657421 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 2304 Antonio Ave, Camarillo, CA 93010-1415 | 2011-02-08 |
| 1952606162 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 126 E 7th St, Oxnard, CA 93030-7119 | 2011-01-19 |
| 1629198684 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 280 Casey Rd, Moorpark, CA 93021-1131 | 2007-03-30 |
| 1376663336 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 1048 W Ventura St, Fillmore, CA 93015-1758 | 2007-03-30 |
| 1003936063 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 196 N Ashwood Ave, Ventura, CA 93003-1810 | 2007-03-30 |
| 1972623007 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Avenue, Suite 215, Camarillo, CA 93010-5914 | 2007-03-30 |
| 1669592747 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 940 E Main St, Santa Paula, CA 93060-2714 | 2007-03-30 |
| 1346360930 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2007-03-29 |
| Street Address |
12039 HERTZ STREET |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1477606945 | Kimberly A Tedder | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2007-01-19 |
| 1790886430 | Matthew Jon Miguelena | Physical Therapist | 13660 Blacksmith Ct, Moorpark, CA 93021 | 2006-09-26 |
| Find all providers in zip 93021 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629198684 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 280 Casey Rd, Moorpark, CA 93021-1131 | 2007-03-30 |
| 1295289288 | Interface Children & Family Services | Community/Behavioral Health | 612 Spring Rd, Suite 201, Moorpark, CA 93021-1298 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| 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.