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BRENT STREET FAMILY PRACTICE
NPI 1063565604
Family Medicine in Ventura, CA

Active since January 18, 2007
168 N BRENT ST, STE 502, VENTURA, CA 93003(805) 641-2000(805) 653-1644 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brent Street Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT STREET FAMILY PRACTICE (NPI 1063565604) is a healthcare organization registered as a family medicine in Ventura, California and active in the NPI registry since January 2007. The organization lists Robert F Dodge, President, as its authorized official.

NPPES Registry Identity

NPI1063565604
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRENT STREET FAMILY PRACTICE
Location Address168 N BRENT ST, STE 502Ventura, CA 93003-2817
Mailing Address168 N Brent St, Ste 502Ventura, CA 93003-2817 · (805) 641-2000 · Fax (805) 653-1644
Phone(805) 641-2000
Fax(805) 653-1644
Organization SubpartNo
Authorized OfficialRobert F DodgePresident · (805) 641-2000
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063565604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · G43925✔ Licensed in CA · G40594✔ Licensed in CA · G26650✔ Licensed in CA · G46052
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
168 N BRENT ST, Ventura, CA 93003
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Other Identifiers 4

Medicaid00G266500CA
Medicaid00G405940CA
Medicaid00G439250CA
Medicaid00G460520CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUSTAPHA ABOU-SAMRA, MD, A PROFESSIONAL CORPORATION
Neurological Surgery
168 N BRENT ST, SUITE 408
VENTURA, CA 93003
Ventura County (805) 643-2179
DR. GEOFFREY L LOMAN M.D.
Family Medicine
168 N BRENT ST, STE 502
VENTURA, CA 93003
Ventura County (805) 641-2000
VNS MANAGEMENT CO., INC.
Neurological Surgery
168 N BRENT ST, SUITE 408
VENTURA, CA 93003
Ventura County (805) 643-2179
GARRETT M. SNYDER, M.D. APC
Orthopaedic Surgery (Sports Medicine)
168 N BRENT ST, 505
VENTURA, CA 93003
Ventura County (805) 648-3902
KATHY WINGLAND RN, CNM
Registered Nurse
168 N BRENT ST, 407
VENTURA, CA 93003
Ventura County (805) 648-2717
STEPHEN D COVINGTON MD
Internal Medicine (Gastroenterology)
168 N BRENT ST, STE 404
VENTURA, CA 93003
Ventura County (805) 641-6525
TRACY ANN LYOU FNP
Nurse Practitioner (Family)
168 N BRENT ST, SUITE 502
VENTURA, CA 93003
Ventura County (805) 641-2000
MICHAEL J DORSI, M.D., A PROFESSIONAL CORPORATION
Neurological Surgery
168 N BRENT ST, SUITE 408
VENTURA, CA 93003
Ventura County (805) 643-2179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Street Family Practice's NPI number?

The NPI number for Brent Street Family Practice is 1063565604. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Brent Street Family Practice located?

Brent Street Family Practice is located at 168 N Brent St Ste 502, Ventura, CA 93003. The listed phone number is (805) 641-2000.

What is Brent Street Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Brent Street Family Practice was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.