PEDIATRIC DIAGNOSTIC CENTER FQHC
NPI 1619118569
Clinic/Center - Federally Qualified Health Center (FQHC) in Ventura, CA
About Pediatric Diagnostic Center Fqhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC DIAGNOSTIC CENTER FQHC (NPI 1619118569) is a healthcare organization registered as a federally qualified health center (fqhc) in Ventura, California and active in the NPI registry since March 2009. The organization lists Theresa Cho, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Pediatric Diagnostic Center Fqhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
708Medicare enrollment records show 708 clinicians reassign Medicare billing to Pediatric Diagnostic Center FQHC, which bills Medicare for the services they deliver. Of these, 128 practice at this address and 409 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 54
Nearest to this location (20)
See all 708Ventura, CA 93003
Ventura, CA 93003
Ventura, CA 93003
Ventura, CA 93003
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 County Of Ventura's NPI number?
The NPI number for County Of Ventura is 1619118569. It was assigned to this organization in the NPPES registry on March 23, 2009. The provider is doing business as Pediatric Diagnostic Center FQHC.
Where is County Of Ventura located?
County Of Ventura is located at 300 Hillmont Ave Ste 302, Ventura, CA 93003. The listed phone number is (805) 652-6255.
What is County Of Ventura's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is County Of Ventura enrolled in Medicare?
Yes. County Of Ventura is registered in the Medicare PECOS enrollment system.
When is County Of Ventura's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by December 31, 2026. 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 County Of Ventura?
According to the CMS Revalidation Reassignment List (October 2026 release), 708 clinicians in 54 Medicare specialties reassign their Medicare billing to County Of Ventura. 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. The largest specialties are Family Practice (185), Psychiatry (83) and Pediatric Medicine (55). Of these, 128 practice at this address and 409 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for County Of Ventura was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pediatric Diagnostic Center Fqhc · NPI 1619118569
Federally Qualified Health Center (FQHC) organization in Ventura, California. Organization record, active in the CMS NPPES registry since March 23, 2009.
## Identity
- **NPI:** 1619118569 (Entity type: Organization)
- **Enumerated:** March 23, 2009
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** County Of Ventura
- **Organization subpart:** Yes (part of Ventura County Medical Center)
- **Authorized official:** Theresa Cho, DIRECTOR
## Practice location
- **Address:** 300 HILLMONT AVE STE 302, Ventura, CA 93003-1651
- **Phone:** (805) 652-6255 · **Fax:** (805) 641-4494
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 708 clinicians in 54 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (185), Psychiatry (83), Pediatric Medicine (55); 128 practice at this address and 409 within 10 miles; [full list](https://npiprofile.com/npi/1619118569/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619118569) · Data from the CMS NPPES public registry.