COMMUNITY MEMORIAL HEALTH SYSTEM
NPI 1619453982
Obstetrics & Gynecology - Gynecologic Oncology in Ventura, CA

Q: What is Community Memorial Health System's NPI number?

The NPI number for Community Memorial Health System is 1619453982. It was assigned to this organization in the NPPES registry on July 19, 2018. The provider is also known as Community Memorial Gynecologic Oncology.

Q: What is Community Memorial Health System's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since July 19, 2018

2900 LOMA VISTA RD STE 205, VENTURA, CA 93003(805) 642-4830(805) 642-3852 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2025, Jul 19, 2018 (2 updates tracked since 2018).

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About Community Memorial Health System NPPES

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

COMMUNITY MEMORIAL HEALTH SYSTEM (NPI 1619453982) is a healthcare organization registered as a gynecologic oncology in Ventura, California and active in the NPI registry since July 2018. The organization lists Mick Zdeblick, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1619453982

Entity TypeOrganization

Primary Taxonomy207VX0201X

Legal Business NameCOMMUNITY MEMORIAL HEALTH SYSTEM

Location Address2900 LOMA VISTA RD STE 205Ventura, CA 93003-2909

Mailing Address5855 Olivas Park DrVentura, CA 93003-7672 · (805) 667-2801 · Fax (805) 667-2865

Phone(805) 642-4830

Fax(805) 642-3852

Organization SubpartYes

Authorized OfficialMick ZdeblickCeo/president · (805) 652-5011

Enumeration DateJuly 19, 2018

Last NPPES UpdateMay 19, 20252 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1619453982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

2900 LOMA VISTA RD STE 205, Ventura, CA 93003

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Other Names 1

Other NameCommunity Memorial Gynecologic Oncology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Memorial Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

266

Medicare enrollment records show 266 clinicians reassign Medicare billing to Community Memorial Health System, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 193 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Family Practice56

Internal Medicine31

Nurse Practitioner29

Pediatric Medicine16

Obstetrics/Gynecology13

General Surgery11

Neurology10

Orthopedic Surgery10

33 other specialties90

Nearest to this location (20)

See all 266

Manasi Ghatge, MD

Hematology/Oncology

NPI 1891322459

2900 LOMA VISTA RD STE 205
Ventura, CA 93003

(805) 642-4830

✔ PECOS✔ Accepts MedicareSame address

Deepa Maheswari Narasimhulu, MD

Gynecological Oncology

NPI 1174895882

2900 LOMA VISTA RD STE 205
Ventura, CA 93003

(805) 642-4830

✔ PECOS✔ Accepts MedicareSame address

Thomas Golden, M.D.

Orthopedic Surgery

NPI 1063578458

168 N BRENT ST STE 505
Ventura, CA 93003

(805) 648-3902

✔ PECOS✔ Accepts MedicareSame address

Melissa Chavez

Nurse Practitioner

NPI 1356203673

168 N BRENT ST STE 505
Ventura, CA 93003

(805) 648-3902

✔ PECOS✔ Accepts MedicareSame address

Jerome De Vera, DO

Pulmonary Disease

NPI 1093211138

168 N BRENT ST STE 406
Ventura, CA 93003

(805) 653-6371

✔ PECOS✔ Accepts MedicareSame address

Petros Frousiakis, DO

Orthopedic Surgery

NPI 1932549219

168 N BRENT ST STE 302
Ventura, CA 93003

(805) 948-6373

✔ PECOS✔ Accepts MedicareSame address

Jonathan Lamee, MD

Pulmonary Disease

NPI 1417341959

168 N BRENT ST STE 406
Ventura, CA 93003

(805) 653-6371

✔ PECOS✔ Accepts MedicareSame address

Charles Menz, MD

Gastroenterology

NPI 1447286141

168 N BRENT ST STE 404
Ventura, CA 93003

(805) 641-6525

✔ PECOS✔ Accepts MedicareSame address

Dennis Brooks, MD

Interventional Cardiology

NPI 1376547299

168 N BRENT ST STE 503
Ventura, CA 93003

(805) 653-0101

✔ PECOSSame address

Stephen Covington, MD

Gastroenterology

NPI 1154353456

168 N BRENT ST STE 404
Ventura, CA 93003

(805) 641-6525

✔ PECOS✔ Accepts MedicareSame address

Robert Mazurek, M.D.

Orthopedic Surgery

NPI 1639191141

168 N BRENT ST SUITE 501
Ventura, CA 93003

(805) 641-0273

✔ PECOS✔ Accepts MedicareSame address

Samuel Small, D.O.

Orthopedic Surgery

NPI 1992761894

168 N BRENT ST 505
Ventura, CA 93003

(805) 648-3902

✔ PECOS✔ Accepts MedicareSame address

Srisawai Pattamakom, M.D.

Obstetrics/Gynecology

NPI 1114031648

2945 LOMA VISTA RD
Ventura, CA 93003

(805) 677-8003

✔ PECOS✔ Accepts MedicareSame address

Noelle Windsor, DO

Family Practice

NPI 1306331129

2929 LOMA VISTA RD STE F
Ventura, CA 93003

(805) 875-9150

✔ PECOS✔ Accepts MedicareSame address

Douglas Woodburn, M.D.

General Surgery

NPI 1598713653

2929 LOMA VISTA RD SUITE C
Ventura, CA 93003

(805) 641-0222

✔ PECOS✔ Accepts MedicareSame address

Nolan Mayer, MD

Cardiovascular Disease (Cardiology)

NPI 1457364655

2937 LOMA VISTA RD
Ventura, CA 93003

(805) 648-2763

✔ PECOS✔ Accepts Medicare0.1 mi

Michelle Takase-Sanchez, MD

Obstetrics/Gynecology

NPI 1881896850

2949 LOMA VISTA RD OB GYN DEPT
Ventura, CA 93003

(805) 643-8695

✔ PECOS✔ Accepts Medicare0.1 mi

Colin Scibetta, M.D.

Hospice/Palliative Care

NPI 1427320480

147 N BRENT ST
Ventura, CA 93003

(805) 652-5011

✔ PECOS✔ Accepts Medicare0.1 mi

Aashish Daulat

Family Practice

NPI 1043875461

147 N BRENT ST
Ventura, CA 93003

(805) 948-5672

✔ PECOS✔ Accepts Medicare0.1 mi

Hannah Robinson, D.O., M.P.H.

Internal Medicine

NPI 1144635483

147 N BRENT ST
Ventura, CA 93003

(805) 652-5652

✔ PECOS✔ Accepts Medicare0.1 mi

See all 266 clinicians

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 Community Memorial Health System's NPI number?

The NPI number for Community Memorial Health System is 1619453982. It was assigned to this organization in the NPPES registry on July 19, 2018. The provider is also known as Community Memorial Gynecologic Oncology.

Where is Community Memorial Health System located?

Community Memorial Health System is located at 2900 Loma Vista Rd Ste 205, Ventura, CA 93003. The listed phone number is (805) 642-4830.

What is Community Memorial Health System's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Community Memorial Health System enrolled in Medicare?

Yes. Community Memorial Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Memorial Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 266 clinicians in 41 Medicare specialties reassign their Medicare billing to Community Memorial Health System. 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 (56), Internal Medicine (31) and Nurse Practitioner (29). Of these, 12 practice at this address and 193 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 Community Memorial Health System was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.