CENTRAL COAST VASCULAR, INC.
NPI 1891855193
Surgery - Vascular Surgery in Ventura, CA

Active since December 10, 2006CLIA 05D2155097 · Waiver
100 N BRENT ST, SUITE 201, VENTURA, CA 93003(805) 643-3300(805) 643-3331 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Coast Vascular, Inc. NPPES

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

CENTRAL COAST VASCULAR, INC. (NPI 1891855193) is a healthcare organization registered as a vascular surgery in Ventura, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Christopher Shawn Skillern, President, as its authorized official.

NPPES Registry Identity

NPI1891855193
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCENTRAL COAST VASCULAR, INC.
Location Address100 N BRENT ST, SUITE 201Ventura, CA 93003-2822
Mailing Address100 N Brent St, Suite 201Ventura, CA 93003-2822 · (805) 643-3300 · Fax (805) 643-3331
Fax(805) 643-3331
Organization SubpartNo
Authorized OfficialChristopher Shawn SkillernPresident · (805) 643-3330
Enumeration DateDecember 10, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1891855193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
100 N BRENT ST, Ventura, CA 93003

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2155097

Central Coast Cardiovascular ASC LLC Dba West Coast Surgical Cen · Oxnard, CA
Active · expires Sep 23, 2026
CLIA Number05D2155097
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorShawn C. Skillern
Laboratory Phone(805) 643-3330
Laboratory LocationCentral Coast Cardiovascular ASC LLC Dba West Coast Surgical Cen2000 Outlet Center Drive Suite 225, Oxnard, CA 93036
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Cardiovascular Disease)
100 N BRENT ST, STE 301
VENTURA, CA 93003
Orthopaedic Surgery
100 N BRENT ST, SUITE 203
VENTURA, CA 93003
Clinic/Center (Ambulatory Surgical)
100 N BRENT ST, SUITE 201
VENTURA, CA 93003
Surgery (Vascular Surgery)
100 N BRENT ST, SUITE 201
VENTURA, CA 93003
Internal Medicine (Clinical Cardiac Electrophysiology)
100 N BRENT ST, SUITE 103
VENTURA, CA 93003
Internal Medicine (Infectious Disease)
100 N BRENT ST, SUITE 103
VENTURA, CA 93003
Specialist
100 N BRENT ST, SUITE 301
VENTURA, CA 93003
Surgery (Vascular Surgery)
100 N BRENT ST, SUITE 201
VENTURA, CA 93003

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 Central Coast Vascular, Inc.'s NPI number?

The NPI number for Central Coast Vascular, Inc. is 1891855193. It was assigned to this organization in the NPPES registry on December 10, 2006.

Where is Central Coast Vascular, Inc. located?

Central Coast Vascular, Inc. is located at 100 N Brent St Suite 201, Ventura, CA 93003. The listed phone number is (805) 643-3300.

What is Central Coast Vascular, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Central Coast Vascular, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2155097) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Coast Vascular, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.