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

Dr. John Ippolito, MD

Individual provider Family Medicine Physician · NPI 1376607846

Dr. John Ippolito, MD is a Family Practice in Moorpark, California. Graduated from University of Southern California Keck School of Medicine in 1992, 34 years ago. Practices with Rose Avenue Family Medical Group a Professional Corporation, a 7-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
34
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

612 Spring Rd Bldg A
Moorpark, CA 93021-1298
Phone: (805) 523-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 825 N 10th St, Santa Paula, CA 93060-1309 — (805) 933-8632
  • 300 Hillmont Ave, Ventura, CA 93003-1651 — (805) 652-6000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G78738 (CA)

Record details

NPI number1376607846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023
Mailing address800 S Victoria Ave # L4640, Ventura, CA 93009-3099

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Rose Avenue Family Medical Group A Professional Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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