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

Theodore Wilson Hole, MD

Individual provider Family Medicine Physician · NPI 1104873611

Theodore Wilson Hole, MD is a Family Practice in Ventura, California. Graduated from University of California, Geffen School of Medicine in 1976, 50 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
50
Trained at
University of California, Geffen 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

2937 Loma Vista Rd
Ventura, CA 93003-2915
Phone: (805) 643-9975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G36661 (CA)

Record details

NPI number1104873611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2937 Loma Vista Rd, Ventura, CA 93003-2915

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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