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NPI Code Detail

MEDICARE: COMMUNITY MEMORIAL HEALTH SYSTEM

MEDICARE: COMMUNITY MEMORIAL HEALTH SYSTEM
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
1207KA0200XAllergy Physician
2207RG0100XGastroenterology Physician
3208800000XUrology Physician
4207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1871919126
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEMORIAL HEALTH SYSTEM
Provider Business Mailing Address
First Line : 5855 OLIVAS PARK DR
Second Line :
City : VENTURA
State : CA
Zip : 93003-7672
Country : US
Telephone Number : 805-667-2801
Fax Number : 805-667-2865
Provider Business Practice Location Address
First Line : 5800 SANTA ROSA RD
Second Line : STE 149
City : CAMARILLO
State : CA
Zip : 93012-7056
Country : US
Telephone Number : 805-465-8900
Fax Number : 805-465-8920
Authorized Official
Title or Position : CEO
Name : MICK ZDEBLICK
Credential :
Telephone Number : 805-667-2801
Provider Enumeration Date : 03/11/2014
Last Update Date : 05/19/2025

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Directions to “COMMUNITY MEMORIAL HEALTH SYSTEM ” Practice Location

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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.

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