Healthcare Provider Details

I. General information

NPI: 1053235358
Provider Name (Legal Business Name): COMMUNITY PHYSICIANS OF VENTURA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2795 LOMA VISTA RD
VENTURA CA
93003-1544
US

IV. Provider business mailing address

5855 OLIVAS PARK DR
VENTURA CA
93003-7672
US

V. Phone/Fax

Practice location:
  • Phone: 805-948-3848
  • Fax:
Mailing address:
  • Phone: 805-948-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD A REISMAN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 805-647-5174