Healthcare Provider Details

I. General information

NPI: 1356198337
Provider Name (Legal Business Name): VSA SPECIALTY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SOLAR DR STE 221
OXNARD CA
93030-0153
US

IV. Provider business mailing address

1801 SOLAR DR STE 221
OXNARD CA
93030-0153
US

V. Phone/Fax

Practice location:
  • Phone: 805-270-9130
  • Fax:
Mailing address:
  • Phone: 805-270-9130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VICTOR GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 805-270-9130