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

NPI Status: Active since April 09, 2019

Contact Information

137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 379-4574
Fax: (805) 379-4324

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  • Organization
  • Specialist
  • CLIA Number: 05D2132236
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-13-2027

About VENTURA ORTHOPEDICS MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Ventura Orthopedics Medical Group, Inc., a provider established in Thousand Oaks, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1104389931 assigned on April 2019. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Minerva Butler Ceo, Cfo (Chief Executive Officer And Cfo)

NPI
1104389931
Provider Legal Name
VENTURA ORTHOPEDICS MEDICAL GROUP, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
137 E THOUSAND OAKS BLVD THOUSAND OAKS, CA 91360
Location Phone
(805) 379-4574
Location Fax
(805) 379-4324
Mailing Address
1203 FLYNN RD UNIT 160 CAMARILLO, CA 93012
Mailing Phone
(805) 804-4168
Mailing Fax
(805) 379-4324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2019
Last Update Date
03-12-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MINERVA BUTLER CEO, CFO

Authorized Official Title
CHIEF EXECUTIVE OFFICER AND CFO
Authorized Official Phone
(805) 941-0056

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2132236
Facility Type
Physician Office
Certificate Effective Date
June 14, 2025
Certificate Expiration Date
June 13, 2027
Laboratory Director
KAMYAR ASSIL, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ventura Orthopedics Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VENTURA ORTHOPEDICS MEDICAL GROUP, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104389931, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 6 + 8 + 1 + 8 + 9 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104389931.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physician Assistant
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Occupational Therapist (Hand)
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Pain Medicine (Interventional Pain Medicine)
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Orthopaedic Surgery (Foot and Ankle Surgery)
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360
Physical Therapist
137 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 91360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104389931, enumerated as an "organization" on April 09, 2019.

The provider is located at 137 E THOUSAND OAKS BLVD THOUSAND OAKS, CA 91360 and the phone number is (805) 379-4574.

Specialist with taxonomy code 174400000X.