Healthcare Provider Details

I. General information

NPI: 1790248508
Provider Name (Legal Business Name): VENTURA ORTHOPEDICS MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 WANKEL WAY
OXNARD CA
93030-0192
US

IV. Provider business mailing address

1203 FLYNN RD UNIT 160
CAMARILLO CA
93012-6203
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-9366
  • Fax: 805-483-3747
Mailing address:
  • Phone: 805-804-4168
  • Fax: 805-830-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MINERVA BUTLER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 805-941-0056