Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Primary Medical Group of Ventura County Inc

Organization Registered Dietitian · NPI 1740673011

Primary Medical Group of Ventura County Inc provides Registered Dietitian services in Ventura, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2772 Johnson Dr Ste 200
Ventura, CA 93003-8582 Not confirmed with CMS for 11 years — call before visiting
Phone: (805) 642-1430
Fax: (805) 642-1436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 881077 (CA)

Record details

NPI number1740673011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Banman — President · (805) 642-1430
NPI enumeratedMarch 11, 2015
Last updated in NPPESMarch 11, 2015
Mailing address2772 Johnson Dr, Ste 200, Ventura, CA 93003-8582

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