Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brent Street Family Practice

Organization Family Medicine Physician · NPI 1063565604

Brent Street Family Practice is a Family Medicine Physician in Ventura, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4

Practice location Address checks out

168 N Brent St Ste 502
Ventura, CA 93003-2817
Phone: (805) 641-2000
Fax: (805) 653-1644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G43925 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G40594 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G26650 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence G46052 (CA)

Record details

NPI number1063565604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Dodge — President · (805) 641-2000
NPI enumeratedJanuary 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address168 N Brent St, Ste 502, Ventura, CA 93003-2817

Other providers in Ventura