Brent Street Family Practice
LBN: Brent Street Family Practice
Brent Street Family Practice is an health care organization with primary practice located at 168 N Brent St Ste 502, Ventura CA 93003-2817. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Brent Street Family Practice can be contacted via phone (805) 641-2000, or through Dodge, Robert F via phone (805) 641-2000.
Contact Information
Primary practice address
168 N Brent St Ste 502
Ventura CA 93003-2817
Phone: (805) 641-2000
Fax: (805) 653-1644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G43925 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G40594 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G26650 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G46052 | California |
Profile Details
| NPI number | 1063565604 |
|---|---|
| LBN Legal business name | Brent Street Family Practice |
| DBA Doing business as | |
| Authorized official | Dodge, Robert F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063565604 | NPPES |
| California | MEDICAID | 00G266500 | |
| California | MEDICAID | 00G405940 | |
| California | MEDICAID | 00G460520 | |
| California | MEDICAID | 00G439250 |
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