COMMUNITY MEMORIAL HEALTH SYSTEM – NPI #1114111309
Clinic/Center

COMMUNITY MEMORIAL HEALTH SYSTEM is an AHC clinic located in VENTURA, CA. NPPES has assigned the NPI number 1114111309 to COMMUNITY MEMORIAL HEALTH SYSTEM on August 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on May 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY MEMORIAL HEALTH SYSTEM below.

NPI Profile for
COMMUNITY MEMORIAL HEALTH SYSTEM

NPI Number
1114111309
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY MEMORIAL HEALTH SYSTEM
Primary location
120 N ASHWOOD AVE
VENTURA, CA 93003-1810
Phone: (805) 948-5800 Fax:
Mailing address
5855 OLIVAS PARK DR
VENTURA, CA 93003-7672
Phone: (805) 667-2801 Fax: (805) 667-2865
Organization Subpart
Yes - COMMUNITY MEMORIAL HEALTH SYSTEM is subpart of another organization.
Authorized Official
MICK ZDEBLICK
CEO
Phone: (805) 652-5011
Updated
Certification Date
May 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COMMUNITY MEMORIAL HEALTH SYSTEM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAZZT40394F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.