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CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY APC NPI 1407803323


NPI Information

NPI: 1407803323
Provider Name: CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC

Former Legal Business Name: RICHARD J DECLUSIN, MD, PHD, APC

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
1700 N ROSE AVE
STE 420
OXNARD, CA
ZIP 93030
Phone: (805) 988-2033
Get Directions

CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC is a thoracic surgery cardiothoracic vascular surgery in Oxnard, CA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC NPI is 1407803323. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Richard J Declusin, Md, Phd, Apc.

The provider's business location address is:

1700 N ROSE AVE
STE 420
OXNARD, CA
ZIP 93030-656
Phone: (805) 988-2033
Fax: (805) 983-6839

The provider's authorized official is Richard John Declusin .
The authorized official title is President and has the following contact phone number (805) 988-2033.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0087650MEDICAIDCALIFORNIA
2ZZZ07779ZOTHERBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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