ST.JOHN'S PLEASANT VALLEY HOSPITAL
NPI 1679556906
Special Hospital in Camarillo, CA

Active since November 21, 2005CLIA 05D0583398 · Accreditation
2309 ANTONIO AVE, CAMARILLO, CA 93010(805) 389-5853(805) 383-7464 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Special Hospital
  • CLIA Number: 05D0583398
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About ST.JOHN'S PLEASANT VALLEY HOSPITAL

This page provides the complete NPI Profile along with additional information for St.john's Pleasant Valley Hospital, a provider established in Camarillo, California operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1679556906 assigned on November 2005. The practitioner's primary taxonomy code is 284300000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Rosa Vazquez Rn (Acne)

NPI
1679556906 Verify this NPI
Provider Name
ST.JOHN'S PLEASANT VALLEY HOSPITAL
Entity Type
Organization
Location Address
2309 ANTONIO AVE CAMARILLO, CA 93010
Location Phone
(805) 389-5853
Location Fax
(805) 383-7464
Mailing Address
2309 ANTONIO AVE CAMARILLO, CA 93010
Mailing Phone
(805) 389-5853
Mailing Fax
(805) 383-7464
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2005
Last Update Date
08-22-2020
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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

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
License State
CA
Taxonomy Description
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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

MRS. ROSA VAZQUEZ RN

Authorized Official Title
ACNE
Authorized Official Phone
(805) 389-5853

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
05D0583398
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
JOANNA XIE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St.john's Pleasant Valley Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST.JOHN'S PLEASANT VALLEY HOSPITAL

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Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Family Medicine
2309 ANTONIO AVE
CAMARILLO, CA 93010
Pharmacy (Institutional Pharmacy)
2309 ANTONIO AVE
CAMARILLO, CA 93010
Emergency Medicine
2309 ANTONIO AVE
CAMARILLO, CA 93010
Emergency Medicine (Undersea and Hyperbaric Medicine)
2309 ANTONIO AVE
CAMARILLO, CA 93010
Pathology (Anatomic Pathology & Clinical Pathology)
2309 ANTONIO AVE, PATHOLOGY DEPARTMENT
CAMARILLO, CA 93010
General Acute Care Hospital
2309 ANTONIO AVE
CAMARILLO, CA 93010
Social Worker (Clinical)
2309 ANTONIO AVE
CAMARILLO, CA 93010
Clinical Medical Laboratory
2309 ANTONIO AVE
CAMARILLO, CA 93010
Anesthesiology
2309 ANTONIO AVE
CAMARILLO, CA 93010
Pharmacist
2309 ANTONIO AVE
CAMARILLO, CA 93010
Physical Therapist
2309 ANTONIO AVE
CAMARILLO, CA 93010
Emergency Medicine
2309 ANTONIO AVE
CAMARILLO, CA 93010
Emergency Medicine (Undersea and Hyperbaric Medicine)
2309 ANTONIO AVE
CAMARILLO, CA 93010
Occupational Therapist
2309 ANTONIO AVE
CAMARILLO, CA 93010
General Acute Care Hospital
2309 ANTONIO AVE
CAMARILLO, CA 93010
Hospitalist
2309 ANTONIO AVE
CAMARILLO, CA 93010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679556906, enumerated as an "organization" on November 21, 2005.

The provider is located at 2309 ANTONIO AVE CAMARILLO, CA 93010 and the phone number is (805) 389-5853.

Special Hospital with taxonomy code 284300000X.