Healthcare Provider Details

I. General information

NPI: 1700270642
Provider Name (Legal Business Name): PACIFIC INPATIENT PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 N BRENT ST
VENTURA CA
93003-2809
US

IV. Provider business mailing address

PO BOX 708
RODEO CA
94572-0708
US

V. Phone/Fax

Practice location:
  • Phone: 877-346-2211
  • Fax:
Mailing address:
  • Phone: 877-346-2211
  • Fax: 407-324-4727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA DESAI
Title or Position: PRESIDENT
Credential:
Phone: 817-575-7877