Dr. Sally Pediatrics

Pediatrics in Ventura, CA. Organization (NPI-2).

NPI number1558041590

StatusActive

Last updated in NPPESJul 24, 2023

Details

NPI: 1558041590
Entity type: Organization (NPI-2)
Legal business name: Dr. Sally Pediatrics
Organization subpart: No
Enumeration date: Jul 24, 2023
Certification date: Jul 24, 2023
Last updated: Jul 24, 2023

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208000000X	Pediatrics	–	–	Yes

Practice location

3454 Loma Vista Rd
Ventura, CA 93003-3026

Phone 805-918-1876

Mailing address

25 Via Magnolia
Newbury Park, CA 91320-6966

Phone 805-217-5644

Authorized official

Sally J Smith
Owner/ President
8059181876

Is something wrong?

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Other Pediatrics Physician providers in Ventura, CA

All 39 Pediatrics Physician providers in Ventura · All 5,428 providers in Ventura

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