Provider Demographics
NPI:1205859204
Name:SCHECHTER, GINGER (MD)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:SCHECHTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 LOMA VISTA RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-1581
Mailing Address - Country:US
Mailing Address - Phone:805-667-2801
Mailing Address - Fax:805-667-2865
Practice Address - Street 1:250 CITRUS GROVE LN
Practice Address - Street 2:#150
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-9030
Practice Address - Country:US
Practice Address - Phone:805-981-3770
Practice Address - Fax:805-981-3767
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM08608FMedicaid
CA050394OtherBLUE CROSS
CARHM18553HMedicaid
CARHM08609FMedicaid
CAZZT40394FMedicaid
CA058609Medicare ID - Type UnspecifiedRH MEDICARE
CAZZT40394FMedicaid
CA050394OtherBLUE CROSS
CARHM08609FMedicaid