JOHN CHARLES GUSTAFSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1003836016

JOHN CHARLES GUSTAFSON (M.D.) is a healthcare provider. based in Ventura, California. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. G36782 (CA). The NPI Number for JOHN CHARLES GUSTAFSON (M.D.) is 1003836016

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JOHN CHARLES GUSTAFSON (M.D.)
NPI
1003836016
Phone
(805) 643-8695
Address
2795 LOMA VISTA RD
Enumeration Date
20 July 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
8056525011
Graduation Year
1977 (49 years ago)
PAC ID
9537106265
Group Practice PAC ID
9537155676
Professional Enrollment ID
I20050520000481
Address ID
CA930032809VE147XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,008 OBSTETRICS/GYNECOLOGY in CA

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Provider Addresses for JOHN CHARLES GUSTAFSON (M.D.)

  • 2795, Loma Vista Road, Ventura, Ventura County, California, 93003, United States

    VENTURA, CA 930031544

    Phone: (805) 643-8695

    Fax: (805) 643-2087

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Medtronic, Inc. ($58).

Total Amount

$197

General + Research + Ownership

Payments

8

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050520000481IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination114114$0
99213Established patient office or other outpatient visit, 20-29 minutes5343$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory4040$0
82270Stool analysis for blood to screen for colon tumors1818$0
99214Established patient office or other outpatient visit, 30-39 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 93003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537155676View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Oral Surgery, NeurologyCA
Physician AssistantCA
-CA
Family PracticeCA
Physician AssistantCA
Family PracticeCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Internal MedicineCA

Reviews

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Frequently asked questions

How do I look up JOHN CHARLES GUSTAFSON (M.D.) by NPI?
Use NPI 1003836016 when you need to reference JOHN CHARLES GUSTAFSON (M.D.) in forms, claims, or directories.
Is JOHN CHARLES GUSTAFSON (M.D.)'s NPI currently valid?
The extract we use shows JOHN CHARLES GUSTAFSON (M.D.) as active.
What field does JOHN CHARLES GUSTAFSON (M.D.) work in?
You can think of JOHN CHARLES GUSTAFSON (M.D.) as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does JOHN CHARLES GUSTAFSON (M.D.) practice in California?
You will see Ventura, California on file for JOHN CHARLES GUSTAFSON (M.D.) alongside any extra practice locations.
Is JOHN CHARLES GUSTAFSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1003836016. Always confirm identity and privileges with the practice and licensing boards.

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