VENTURA ORTHOPEDICS MEDICAL GROUP, INC.
NPI 1104389931
Specialist in Thousand Oaks, CA

Q: What is Ventura Orthopedics Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 09, 2019CLIA 05D2132236 · Waiver

137 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360(805) 379-4574(805) 379-4324 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Sep 20, 2021, Jul 29, 2021 and 4 more (7 updates tracked since 2019).

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About Ventura Orthopedics Medical Group, Inc. NPPES

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

VENTURA ORTHOPEDICS MEDICAL GROUP, INC. (NPI 1104389931), doing business as Ventura Orthopedics, is a healthcare organization registered as a specialist in Thousand Oaks, California and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Minerva Butler, Chief Executive Officer And Cfo, as its authorized official.

NPPES Registry Identity

NPI1104389931

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameVENTURA ORTHOPEDICS MEDICAL GROUP, INC.

Location Address137 E THOUSAND OAKS BLVDThousand Oaks, CA 91360-5707

Mailing Address1203 Flynn Rd Unit 160Camarillo, CA 93012-6203 · (805) 804-4168 · Fax (805) 830-1177

Phone(805) 379-4574

Fax(805) 379-4324

Organization SubpartNo

Authorized OfficialMinerva ButlerChief Executive Officer And Cfo · (805) 941-0056

Enumeration DateApril 9, 2019

Last NPPES UpdateMarch 12, 20267 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1104389931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

137 E THOUSAND OAKS BLVD, Thousand Oaks, CA 91360

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Other Names 1

Doing Business AsVentura Orthopedics

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2132236

Ventura Orthopedic Medical Group · Thousand Oaks, CA

Active · expires Jun 13, 2027

CLIA Number05D2132236

Laboratory TypePhysician Office

Certificate Effective DateJune 14, 2025

Certificate Expiration DateJune 13, 2027

Laboratory DirectorKamyar Assil, MD

Laboratory Phone(805) 379-4574

Laboratory LocationVentura Orthopedic Medical Group2230 Lynn Rd Ste 220, Thousand Oaks, CA 91360

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

REBECCA HAAS PT, DPT

Physical Therapist