Healthcare Provider Details

I. General information

NPI: 1487277604
Provider Name (Legal Business Name): VISIT HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 07/18/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5725 RALSTON STREET UNIT 101
VENTURA CA
93003
US

IV. Provider business mailing address

1608 W CAMPBELL AVE # 348
CAMPBELL CA
95008-1535
US

V. Phone/Fax

Practice location:
  • Phone: 866-888-4003
  • Fax:
Mailing address:
  • Phone: 650-833-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: OLYMPIA BLISS
Title or Position: CEO
Credential:
Phone: 650-833-9203