John Charles Gustafson
Obstetrician & Gynecologist
2795 Loma Vista Rd
Ventura
, California 93003-1544
John Charles Gustafson
Obstetrician & Gynecologist
2795 Loma Vista Rd
Ventura
, California 93003-1544
(805) 643-2087
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- John Charles Gustafson
- 2795 Loma Vista Rd
- Ventura, CA
- Zip : 93003-1544
- Fax : (805) 643-2087
- Phone : (805) 643-8695
Second Address
- John Charles Gustafson
- 2795 Loma Vista Rd
- Ventura, CA
- Zip : 93003-1544
- Fax : (805) 643-2087
- Phone : (805) 643-8695
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | G36782 | CA |
National Provider Identifier
| NPI | 1003836016 |
|---|---|
| Provider Name | John Charles Gustafson |
| First Address | Ventura, CA 93003-1544 |
| Second Address | Ventura, CA 93003-1544 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 050394 | BLUE CROSS (01) | CA |
| 951683892 | OTHER INSURANCE (01) | CA |
| 953152550 | OTHER INSURANCE (01) | CA |
| A46801 | (02) | |
| RHM08608F | (05) | CA |
| RHM08609F | (05) | CA |
| RHM18553H | (05) | CA |
| ZZT40394F | (05) | CA |
| ZZZ82842Z | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.