Organization · Type 2 NPI

County of Ventura

Federally Qualified Health Center (FQHC) · Ventura, CA

NPI number 1619118569 Active

Practice location

300 Hillmont Ave Ste 302
Ventura, CA 93003-1651

Call (805) 652-6255 Map

Fax (805) 641-4494

Mailing address

800 S Victoria Ave # L4615
Ventura, CA 93009-0003

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	H80CS00247-06-03 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

6 other providers at this address

Abbey Jordana Freed, DONeurology with Special Qualifications in Child Neurology Physician Ventura, CA NPI 1073056974
Jeffrey Alan Wong, MDPediatric Cardiology Physician Ventura, CA NPI 1538131966
Joo-Hye Park Dilly, MDPediatrics Physician Ventura, CA NPI 1295230563
Karen Anabel Acevedo, NPPediatric Nurse Practitioner Ventura, CA NPI 1861974925
Katie Elizabeth Weesner, LCSWClinical Social Worker Ventura, CA NPI 1437407137
Swati Vijaylakshmi Elchuri, MDPediatric Endocrinology Physician Ventura, CA NPI 1750569133

Other federally qualified health center (fqhc) providers in Ventura

See all in Ventura →

NPI record

NPI: 1619118569
Entity type: Organization (Type 2)
Issued: Mar 23, 2009
Last updated: Jul 19, 2024
Status: Active
Subpart: Yes of Ventura County Medical Center

Other names

<unavail>
Pediatric Diagnostic Center FQHC · doing business as
Pediatric Diagnostic Center FQHC · doing business as

Authorized official

Theresa Cho, MD
Director
(805) 677-5290

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619118569

County of Ventura's National Provider Identifier is 1619118569, issued on Mar 23, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ventura, CA. The record was last updated on Jul 19, 2024.