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CHANING TIDES TREATMENT
NPI 1508315250
Family Medicine - Addiction Medicine in Ventura, CA

Active since September 22, 2016
2021 SPERRY AVE, SUITE 18, VENTURA, CA 93003(844) 883-3869(805) 624-5311 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chaning Tides Treatment NPPES

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

CHANING TIDES TREATMENT (NPI 1508315250) is a healthcare organization registered as an addiction medicine in Ventura, California and active in the NPI registry since September 2016. The organization lists Angela Iacullo, Billing, as its authorized official.

NPPES Registry Identity

NPI1508315250
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameCHANING TIDES TREATMENT
Location Address2021 SPERRY AVE, SUITE 18Ventura, CA 93003-7408
Mailing Address2021 Sperry Ave, Suite 18Ventura, CA 93003-7408
Phone(844) 883-3869
Fax(805) 624-5311
Organization SubpartNo
Authorized OfficialAngela IaculloBilling · (954) 415-8781
Enumeration DateSeptember 22, 2016
✔ NPI 1508315250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

2021 SPERRY AVE, Ventura, CA 93003
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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

Other Providers at the Same Location NPPES 14

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

CHANGING TIDES TREATMENT LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2021 SPERRY AVE, SUITE 3
VENTURA, CA 93003
Ventura County (844) 883-3869
JILL SCHWARTZ
Marriage & Family Therapist
2021 SPERRY AVE, SUITE 22
VENTURA, CA 93003
Ventura County (805) 669-8846
CHARLETTA ERB LMFT
Marriage & Family Therapist
2021 SPERRY AVE, SUITE 41
VENTURA, CA 93003
Ventura County (805) 633-0625
RYAN Y HASHIMOTO ACSW
Social Worker (Clinical)
2021 SPERRY AVE
VENTURA, CA 93003
Ventura County (760) 459-9790
MR. MATTHEW BRYANT L.AC.
Acupuncturist
2021 SPERRY AVE, SUITE 22
VENTURA, CA 93003
Ventura County (805) 844-1111
KYLIE MARIE WOLFF AMFT
Marriage & Family Therapist
2021 SPERRY AVE
VENTURA, CA 93003
Ventura County (805) 669-8846
THOMAS ECHLIN
Marriage & Family Therapist
2021 SPERRY AVE, SUITE 41
VENTURA, CA 93003
Ventura County (805) 669-8846
LUCIANE DE GREEF M.S.
Marriage & Family Therapist
2021 SPERRY AVE
VENTURA, CA 93003
Ventura County (805) 669-8846

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 Chaning Tides Treatment's NPI number?

The NPI number for Chaning Tides Treatment is 1508315250. It was assigned to this organization in the NPPES registry on September 22, 2016.

Where is Chaning Tides Treatment located?

Chaning Tides Treatment is located at 2021 Sperry Ave Suite 18, Ventura, CA 93003. The listed phone number is (844) 883-3869.

What is Chaning Tides Treatment's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Chaning Tides Treatment was last updated on September 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.