MEDICARE: COUNTY OF VENTURA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1447659933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF VENTURA

Provider Business Mailing Address
First Line	:	800 S VICTORIA AVE # L4615
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93009-0003
Country	:	US
Telephone Number	:	805-677-5210
Fax Number	:	805-677-5304

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY DR
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-8599
Country	:	US
Telephone Number	:	805-437-8828
Fax Number	:	805-437-8829

Authorized Official
Title or Position	:	CEO
Name	:	JOHNSON GILL
Credential	:
Telephone Number	:	805-677-5272

Provider Enumeration Date	:	08/20/2014
Last Update Date	:	01/16/2019

Similar Medicare Providers

1154322311 — ROSALIND S. NG NP
Practice Location Address:

1 UNIVERSITY DR , CAL STATE UNIVERSITY CHANNEL ISLANDS STUDENT HEALTH
CAMARILLO, CA
93012-8599

Practice Phone: 805-437-8828
Practice Fax: 805-437-8829

1245977032 — MS. STACY HAND UDOLPH LCSW
Practice Location Address:

1 UNIVERSITY DR
CAMARILLO, CA
93012-8599

Practice Phone: 805-665-3710
Practice Fax:

1376320416 — JAMIE ALTOON
Practice Location Address:

1 UNIVERSITY DR # H103
CAMARILLO, CA
93012-8599

Practice Phone: 818-472-1122
Practice Fax:

1598629180 — BRYAN NAVARRETE
Practice Location Address:

4000 CALLE TECATE STE 105
CAMARILLO, CA
93012-5283

Practice Phone: 805-702-2511
Practice Fax:

1922245612 — NOEMI SANCHEZ
Practice Location Address:

1722 S LEWIS RD
CAMARILLO, CA
93012-8520

Practice Phone: 805-239-3822
Practice Fax:

1760480073 — MR. ANDREW TODD SANTER R.PH.
Practice Location Address:

1718 CERVATO CT
CAMARILLO, CA
93012-9063

Practice Phone: 805-445-1262
Practice Fax:

Directions to “COUNTY OF VENTURA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.