VENTURA DERMATOLOGY MEDICAL CLINIC, INC
NPI 1548286701
Dermatology - Dermatopathology in Ventura, CA

NPI Status: Active since July 14, 2006

Contact Information

227 N DOS CAMINOS AVE
VENTURA, CA
ZIP 93003
Phone: (805) 648-6969
Fax: (805) 648-3762

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  • Organization
  • Dermatology
  • Dermatopathology
  • CLIA Number: 05D0684278
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About VENTURA DERMATOLOGY MEDICAL CLINIC, INC

This page provides the complete NPI Profile along with additional information for Ventura Dermatology Medical Clinic, Inc, a provider established in Ventura, California operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1548286701 assigned on July 2006. The practitioner's primary taxonomy code is 207ND0900X with license number G18881 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. 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 authorized official of this NPI record is Dr. John Hollister Thacher M.d. (President/physician)

NPI
1548286701
Provider Name
VENTURA DERMATOLOGY MEDICAL CLINIC, INC
Entity Type
Organization
Location Address
227 N DOS CAMINOS AVE VENTURA, CA 93003
Location Phone
(805) 648-6969
Location Fax
(805) 648-3762
Mailing Address
115 PIRIE RD STE F OJAI, CA 93023
Mailing Phone
(805) 648-6969
Mailing Fax
(805) 648-3762
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2006
Last Update Date
03-06-2025
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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

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
G18881
License State
CA
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Group Taxonomy 193400000X 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. JOHN HOLLISTER THACHER M.D.

Authorized Official Title
PRESIDENT/PHYSICIAN
Authorized Official Phone
(805) 648-6969

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ71761ZOTHER (01)CABLUE SHIELD

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
05D0684278
Facility Type
Physician Office
Certificate Effective Date
November 17, 2021
Certificate Expiration Date
October 31, 2025
Laboratory Director
JOHN H. THACHER MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Ventura Dermatology Medical Clinic, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1548286701, 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
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
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 4 → 8 2 → 4 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 4 + 8 + 1 + 2 + 7 + 0 + 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 1548286701.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
227 N DOS CAMINOS AVE
VENTURA, CA 93003
Internal Medicine
227 N DOS CAMINOS AVE
VENTURA, CA 93003
Internal Medicine
227 N DOS CAMINOS AVE
VENTURA, CA 93003
Internal Medicine
227 N DOS CAMINOS AVE
VENTURA, CA 93003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548286701, enumerated as an "organization" on July 14, 2006.

The provider is located at 227 N DOS CAMINOS AVE VENTURA, CA 93003 and the phone number is (805) 648-6969.

Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.