BONAVENTURE CLINIC (NPI# 1326312794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326312794 |
| Entity Type | Organization |
| Organization Name | BONAVENTURE CLINIC |
| Practice Address |
1081 Mesa Dr Camarillo CA 93010-1345 |
| Mailing Address |
Po Box 429 Somis CA 93066-0429 |
| Practice Telephone | 8053867055 |
| Practice Fax Number | 8053867038 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | DANIEL STEFFY (PRESIDENT) |
| Authorized Official Telephone | 8053867055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A116565 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1081 MESA DR |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316462492 | Catherine A Kim Md A Professional Corporation | Family Medicine | 1601 Carmen Dr Ste 216, Camarillo, CA 93010-3167 | 2017-08-09 |
| 1548595333 | Ezway Solutions, Inc | Family Medicine | 5235 Mission Oaks Blvd Ste 811, Camarillo, CA 93012-5400 | 2009-10-12 |
| 1154442499 | Richard Saetre Loft | Family Medicine | 6650 San Onofre Dr, Camarillo, CA 93012-8271 | 2007-04-03 |
| 1659432268 | Donald Fong-cheng Chen | Family Medicine | 197 Arneill Rd, Camarillo, CA 93010-6401 | 2006-12-13 |
| 1477611473 | Harvey M. Huang | Family Medicine | 2089 Paseo Noche, Camarillo, CA 93012-9371 | 2006-12-04 |
| 1043311822 | Jody Balloch Md Inc | Family Medicine | 3801 Las Posas Rd # 106a, Camarillo, CA 93010-1427 | 2006-09-26 |
| 1649385311 | Lynn S Pluche | Family Medicine | 400 Mobil Avenue, Suite C2, Camarillo, CA 93010 | 2006-08-20 |
| 1144334616 | Santa Rosa Walk-in Medical Center | Family Medicine | 4934 Verdugo Way, Camarillo, CA 93012-8631 | 2006-08-19 |
| 1578504148 | Wendy-ann L Sylvester | Family Medicine | 2275 Las Posas Rd, Camarillo, CA 93010-3344 | 2006-06-08 |
| 1134167356 | Kurt Tamaru | Family Medicine | 2475 Ventura Blvd, Camarillo, CA 93010-6650 | 2006-06-02 |
| Find all providers in CAMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.