DIGNITY HEALTH MEDICAL GROUP - VENTURA COUNTY, A SERVICE OF DIGNITY HE
NPI 1386937977
Clinic/Center - Multi-Specialty in Camarillo, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since May 16, 2011CLIA Certified · 2 labs

5051 VERDUGO WAY STE 100, CAMARILLO, CA 93012(805) 384-8071(805) 987-1927 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dignity Health Medical Group - Ventura County, A Service Of Dignity He NPPES

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

DIGNITY HEALTH MEDICAL GROUP - VENTURA COUNTY, A SERVICE OF DIGNITY HE (NPI 1386937977) is a healthcare organization registered as a multi-specialty in Camarillo, California and active in the NPI registry since May 2011. The organization holds 2 active CLIA laboratory certificates and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1386937977

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION

Location Address5051 VERDUGO WAY STE 100Camarillo, CA 93012-8681

Mailing AddressPo Box 742063Los Angeles, CA 90074-2063 · (916) 379-2912 · Fax (916) 859-1671

Phone(805) 384-8071

Fax(805) 987-1927

Organization SubpartYes

Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559

Enumeration DateMay 16, 2011

Last NPPES UpdateNovember 18, 2020

NPPES CertifiedNovember 18, 2020

✔ NPI 1386937977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

5051 VERDUGO WAY STE 100, Camarillo, CA 93012

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Other Names 1

Doing Business AsDignity Health Medical Group - Ventura County, A Service Of Dignity He

CLIA Laboratory Certificates CMS CLIA 2

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 05D1077471

Dignity Health Medical Foundation · Camarillo, CA

Active · expires Dec 10, 2027

CLIA Number05D1077471

Laboratory TypePhysician Office

Certificate Effective DateDecember 11, 2025

Certificate Expiration DateDecember 10, 2027

Laboratory DirectorEdwina Skinner MD

Laboratory Phone(805) 384-8071

Laboratory LocationDignity Health Medical Foundation5051 Verdugo Way, Suite 100, Camarillo, CA 93012

CLIA data matches this NPI record on: Address Name Phone

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

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1093040

Dignity Health Medical Foundation · Camarillo, CA

Active · expires Jul 27, 2026

CLIA Number05D1093040

Laboratory TypePhysician Office

Certificate Effective DateJuly 28, 2024

Certificate Expiration DateJuly 27, 2026

Laboratory DirectorEdwina Skinner MD

Laboratory Phone(916) 379-2861

Laboratory LocationDignity Health Medical Foundation5051 Verdugo Way Ste 110, Camarillo, CA 93012

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.