VENTURA ADVANCED SURGICAL ASSOCIATES
NPI 1396862116
Specialist in Ventura, CA

Active since March 25, 2007
3200 TELEGRAPH RD, VENTURA, CA 93003(916) 491-1717(530) 432-4915 Get Directions Write a Review

NPPES record last updated: July 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ventura Advanced Surgical Associates NPPES

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

VENTURA ADVANCED SURGICAL ASSOCIATES (NPI 1396862116) is a healthcare organization registered as a specialist in Ventura, California and active in the NPI registry since March 2007. The organization lists Heather Jacobsen, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1396862116
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVENTURA ADVANCED SURGICAL ASSOCIATES
Location Address3200 TELEGRAPH RDVentura, CA 93003-3232
Mailing Address3200 Telegraph RdVentura, CA 93003-3232 · (916) 491-1717 · Fax (530) 432-4915
Fax(530) 432-4915
Organization SubpartNo
Authorized OfficialHeather JacobsenInsurance Coordinator · (916) 491-1717
Enumeration DateMarch 25, 2007
Last NPPES UpdateJuly 20, 2008
✔ NPI 1396862116 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.
3200 TELEGRAPH RD, Ventura, CA 93003

Other Identifiers 2

Medicare UPINY10671CA
Medicare ID-Type UnspecifiedW17307CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ventura Advanced Surgical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040629001566Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ventura Advanced Surgical Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1447317664
3200 TELEGRAPH RD
Ventura, CA 93003
(805) 676-9100
✔ PECOSSame address
Internal Medicine
NPI 1649367426
3200 TELEGRAPH RD
Ventura, CA 93003
(805) 676-9100
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ventura Advanced Surgical Associates's NPI number?

The NPI number for Ventura Advanced Surgical Associates is 1396862116. It was assigned to this organization in the NPPES registry on March 25, 2007.

Where is Ventura Advanced Surgical Associates located?

Ventura Advanced Surgical Associates is located at 3200 Telegraph Rd, Ventura, CA 93003. The listed phone number is (916) 491-1717.

What is Ventura Advanced Surgical Associates's specialty?

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

Is Ventura Advanced Surgical Associates enrolled in Medicare?

Yes. Ventura Advanced Surgical Associates is registered in the Medicare PECOS enrollment system.

When is Ventura Advanced Surgical Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ventura Advanced Surgical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ventura Advanced Surgical Associates, in General Surgery and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ventura Advanced Surgical Associates was last updated on July 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.