| Primary Medical Group Of Ventura County Inc | |
|
3555 Loma Vista Rd #110 Ventura CA 93003-3161 | |
| (805) 653-0303 | |
| (805) 653-5761 |
| Full Name | Primary Medical Group Of Ventura County Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3555 Loma Vista Rd, Ventura, California |
| Authorized Official Name and Position | Susie Guzman (BILLING MANAGER) |
| Authorized Official Contact | 8056520659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Group Of Ventura County Inc 2772 Johnson Dr Ste 200 Ventura CA 93003-7262 Ph: (805) 642-1430 | Primary Medical Group Of Ventura County Inc 3555 Loma Vista Rd #110 Ventura CA 93003-3161 Ph: (805) 653-0303 |
| NPI Number | 1417970849 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/06/2020 |
| Medicare PECOS PAC ID | 0345218160 |
|---|---|
| Medicare Enrollment ID | O20040920001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417970849 | NPI | - | NPPES |
| ZZZ44782Z | Other | CA | BLUE SHIELD (TELEGRAPH) |
| W13268 | Other | CA | 3555 LOMA VISTA RD, #110, VENTURA, CA 93003 |
| ZZZ44783Z | Other | CA | BLUE SHIELD (LOMA VISTA ) |
| W13268 | Other | CA | 2953 TELEGRAPH RD, VENTURA, CA 93003 |
| W13268A | Other | CA | 10885 TELEGRAPH ROAD, VENTURA CA 93004 |
| W13268 | Other | CA | 2772 JOHNSON DR #200, VENTURA, CA 93003 |
| W13268 | Other | CA | 1751 LOMBARD ST #A, OXNARD CA 93030 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sue C Houx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457465072 PECOS PAC ID: 3577544600 Enrollment ID: I20040525001753 |
| Provider Name | Edward J Banman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538183116 PECOS PAC ID: 4587632310 Enrollment ID: I20040921000602 |
| Provider Name | Catherine Angela Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497819809 PECOS PAC ID: 9638081110 Enrollment ID: I20041021001079 |
| Provider Name | Karen T Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588744791 PECOS PAC ID: 0941240485 Enrollment ID: I20050504000746 |
| Provider Name | Kristin Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861554552 PECOS PAC ID: 3577505916 Enrollment ID: I20050526001058 |
| Provider Name | James Gay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750338042 PECOS PAC ID: 3870533268 Enrollment ID: I20050602000267 |
| Provider Name | Susan Renteria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881631786 PECOS PAC ID: 1153365739 Enrollment ID: I20050614001329 |
| Provider Name | Jeff J. Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649215260 PECOS PAC ID: 8325071350 Enrollment ID: I20050912000399 |
| Provider Name | Uldine L Castel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568544187 PECOS PAC ID: 9638170293 Enrollment ID: I20070124000589 |
| Provider Name | Laura M Harman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942239579 PECOS PAC ID: 0244325900 Enrollment ID: I20070926001181 |
| Provider Name | Sherilyn C Wheaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205861234 PECOS PAC ID: 2961597448 Enrollment ID: I20070927001093 |
| Provider Name | Gregorio Ruelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447441092 PECOS PAC ID: 1254426158 Enrollment ID: I20071008000378 |
| Provider Name | Dana N Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376644989 PECOS PAC ID: 5193827533 Enrollment ID: I20090421000265 |
| Provider Name | Brian Tamura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720080682 PECOS PAC ID: 4880739093 Enrollment ID: I20100226000349 |
| Provider Name | Carolyn F Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912921685 PECOS PAC ID: 1850423682 Enrollment ID: I20100714000750 |
| Provider Name | Michael Hugh Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770584484 PECOS PAC ID: 6507834330 Enrollment ID: I20100929001074 |
| Provider Name | Maria Delgadillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710103445 PECOS PAC ID: 0749473197 Enrollment ID: I20101019000359 |
| Provider Name | Nicole Hartnett Kehoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255497434 PECOS PAC ID: 7719171651 Enrollment ID: I20101104000374 |
| Provider Name | Viktoriya Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619093143 PECOS PAC ID: 3072708536 Enrollment ID: I20110831000331 |
| Provider Name | Gerri D Sylvester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477798767 PECOS PAC ID: 9739350273 Enrollment ID: I20110914000229 |
| Provider Name | Lauren G Ficks |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609912666 PECOS PAC ID: 1557538170 Enrollment ID: I20120124000072 |
| Provider Name | April M Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477986248 PECOS PAC ID: 0042434680 Enrollment ID: I20140620001874 |
| Provider Name | Maria Noelle Barrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831415736 PECOS PAC ID: 3577720184 Enrollment ID: I20141008002063 |
| Provider Name | Colette B Frena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023137247 PECOS PAC ID: 1153591409 Enrollment ID: I20141013002425 |
| Provider Name | Michele Lynn Horwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053535724 PECOS PAC ID: 2668778473 Enrollment ID: I20160303002671 |
| Provider Name | Jack T Shenouda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023247822 PECOS PAC ID: 9739337239 Enrollment ID: I20160606000606 |
| Provider Name | Traci Ann Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043233620 PECOS PAC ID: 0648165654 Enrollment ID: I20160815001236 |
| Provider Name | Suzanne Renee Kenedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578086559 PECOS PAC ID: 1456624113 Enrollment ID: I20170831003352 |
| Provider Name | Lauren Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578923538 PECOS PAC ID: 3870866221 Enrollment ID: I20170906002082 |
| Provider Name | Carlie Sue Corse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023521887 PECOS PAC ID: 1456612407 Enrollment ID: I20180307002856 |
| Provider Name | April Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053839753 PECOS PAC ID: 1951664747 Enrollment ID: I20180409001170 |
| Provider Name | Paul C. Algra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598076424 PECOS PAC ID: 0749534667 Enrollment ID: I20181113001230 |
| Provider Name | Damandeep Kaur Baidwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760838981 PECOS PAC ID: 9133458847 Enrollment ID: I20190905002051 |
| Provider Name | Jacob Allen West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154815991 PECOS PAC ID: 8224462809 Enrollment ID: I20200107003491 |
| Provider Name | Mana Behjat Sassanpour Lazzarotto |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1598115677 PECOS PAC ID: 9335564277 Enrollment ID: I20200810000656 |
| Provider Name | Victor Duong |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1548654296 PECOS PAC ID: 1254756109 Enrollment ID: I20200810000873 |
| Provider Name | Teresa Enright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922399716 PECOS PAC ID: 5294903662 Enrollment ID: I20210216002634 |
| Provider Name | Matthew Westfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609361427 PECOS PAC ID: 9234538117 Enrollment ID: I20210526000299 |
| Provider Name | Charles Walton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083284475 PECOS PAC ID: 5698785202 Enrollment ID: I20210730001679 |
| Provider Name | Maitryben Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043714447 PECOS PAC ID: 9931456191 Enrollment ID: I20210908003776 |
| Provider Name | Rhonda Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700454592 PECOS PAC ID: 5597161752 Enrollment ID: I20210914000938 |
| Provider Name | Elizabeth Alaimo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427404607 PECOS PAC ID: 8628329117 Enrollment ID: I20211117001133 |
| Provider Name | Kathleen Elizabeth West |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184376022 PECOS PAC ID: 3274918214 Enrollment ID: I20220912003435 |
| Provider Name | Zena Aladdin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875988 PECOS PAC ID: 0648655290 Enrollment ID: I20220916002941 |
| Provider Name | Flor Mounts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114293313 PECOS PAC ID: 8820243405 Enrollment ID: I20221102003055 |
| Provider Name | Sharon C Agacite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508190380 PECOS PAC ID: 4789029174 Enrollment ID: I20240226000509 |
Family To Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Petit Ave, Suite D, Ventura, CA 93004 Phone: 805-659-1166 Fax: 805-659-5765 | |
John Padour Md A Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 N Brent St., Suite 201, Ventura, CA 93003 Phone: 805-641-1800 Fax: 805-653-7468 | |
Cmh Centers For Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4730 Telephone Rd, Ventura, CA 93003 Phone: 805-643-1871 Fax: 805-639-0786 | |
Brent Street Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 N Brent St, Ste 502, Ventura, CA 93003 Phone: 805-641-2000 Fax: 805-653-1644 | |
James F Mitchell Jr Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Loma Vista Rd Ste 205, Ventura, CA 93003 Phone: 805-585-3086 | |
Robert Keith Moffatt Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 N Dos Caminos Ave, Ventura, CA 93003 Phone: 805-653-5070 Fax: 805-653-8099 | |
Community Memorial Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2721 E Main St, Ventura, CA 93003 Phone: 805-667-2801 Fax: 805-667-2865 |