CLINICAS DEL CAMINO REAL INC (NPI# 1396961884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396961884 |
| Entity Type | Organization |
| Organization Name | CLINICAS DEL CAMINO REAL INC |
| Other Organization Name | CLINICAS DEL CAMINO REAL, INC., OXNARD |
| Practice Address |
650 Meta St Oxnard CA 93030-7182 |
| Mailing Address |
200 S Wells Rd Suite 200 Ventura CA 93004-1302 |
| Practice Telephone | 8054875351 |
| Mailing Telephone | 8056591740 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | MR. ROBERTO S. JUAREZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8056591740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
050000128 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ90946Z | 01 |
| CA | EDS CDP EVERY WOMAN COUNT | BCP70103F | 01 |
| CA | FHC70103F | 05 | |
| CA | HEALTHY FAMILIES DELTA DE | G90884-01 | 01 |
| CA | HEALTHY FAMILIES ACCESS D | 014641 | 01 |
| CA | HEALTH ACCESS PROGRAM FAM | HAP70103F | 01 |
| CA | DELTA DENTAL | 1251 | 01 |
| Other Name | Type Code |
|---|---|
| Clinicas del Camino Real, Inc., Oxnard | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297190 | Clinicas Del Camino Real Inc | Clinic/Center | 730 Paseo Camarillo, Camarillo, CA 93010-6064 | 2019-04-01 |
| 1134369366 | Clinicas Del Camino Real Inc | Clinic/Center | 221 E Ventura Blvd, Suite 126, Oxnard, CA 93036-0277 | 2009-02-27 |
| 1518183904 | Clinicas Del Camino Real Inc | Clinic/Center | 450 W Clara St, Oxnard, CA 93033-8363 | 2007-04-17 |
| 1942789359 | Clinicas Del Camino Real Inc | Clinic/Center | 801 Cooper Rd, Oxnard, CA 93030-5445 | 2018-08-08 |
| 1841556404 | Clinicas Del Camino Real Inc | Clinic/Center | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2012-04-09 |
| 1720362056 | Clinicas Del Camino Real Inc | Clinic/Center | 1424 Madera Rd, Simi Valley, CA 93065-3000 | 2011-10-05 |
| 1427276278 | Clinicas Del Camino Real Inc | Clinic/Center | 4400 Olds Rd, Oxnard, CA 93033-8061 | 2007-04-24 |
| 1093933194 | Clinicas Del Camino Real Inc | Clinic/Center | 1200 N Ventura Rd, Suite E, Oxnard, CA 93030-3863 | 2007-04-23 |
| 1316163736 | Clinicas Del Camino Real Inc | Clinic/Center | 1200 Maricopa Hwy, Ojai, CA 93023-3129 | 2007-04-17 |
| 1912123431 | Clinicas Del Camino Real Inc | Clinic/Center | 355 Central Ave, Fillmore, CA 93015-1920 | 2007-04-17 |
| Street Address |
650 META ST |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-7182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568414712 | Jean Joseph Dansereau | Psychiatry & Neurology | 650 Meta St, Oxnard, CA 93030-7182 | 2006-05-16 |
| 1497230890 | Andrew James Mitchell | Physician Assistant | 650 Meta St, Oxnard, CA 93030-7182 | 2018-10-01 |
| 1417475005 | Hannah Ginther | Physician Assistant | 650 Meta St, Oxnard, CA 93030 | 2017-09-02 |
| 1942653159 | Ramona Bahnam | Family Medicine | 650 Meta St, Oxnard, CA 93030-7182 | 2016-07-22 |
| 1215387139 | Yesenia C Dominguez | Social Worker | 650 Meta St, Oxnard, CA 93030-7182 | 2016-06-22 |
| 1265816110 | Christina Barba Pech | Physician Assistant | 650 Meta St, Oxnard, CA 93030-7182 | 2015-07-09 |
| 1427461151 | Michelle Medley | Family Medicine | 650 Meta St, Oxnard, CA 93030-7182 | 2014-06-10 |
| 1861747016 | Rajinder Maan | Family Medicine | 650 Meta St, Oxnard, CA 93030-7182 | 2012-07-13 |
| 1689892739 | Judy Galanter | Dietitian, Registered | 650 Meta St, Oxnard, CA 93030-7182 | 2007-04-23 |
| 1427183797 | Delia Maria Santana | Social Worker | 650 Meta St, Oxnard, CA 93030-7182 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508187329 | County of Ventura | Clinic/Center | 325 W. Channel Islands Blvd., Oxnard, CA 93033 | 2010-06-16 |
| 1043451982 | County of Ventura | Clinic/Center | 3100 N Rose Ave, Oxnard, CA 93036-1807 | 2009-03-23 |
| 1538300488 | County of Ventura | Clinic/Center | 2000 Outlet Center Dr Ste 110, Oxnard, CA 93036-0608 | 2009-03-23 |
| 1134369366 | Clinicas Del Camino Real Inc | Clinic/Center | 221 E Ventura Blvd, Suite 126, Oxnard, CA 93036-0277 | 2009-02-27 |
| 1518183904 | Clinicas Del Camino Real Inc | Clinic/Center | 450 W Clara St, Oxnard, CA 93033-8363 | 2007-04-17 |
| 1477116549 | Mountain Health & Community Services, Inc | Clinic/Center | 650 Hobson Way, Oxnard, CA 93030-6706 | 2019-04-15 |
| 1720447568 | County of Ventura | Clinic/Center | 325 W Channel Islands Blvd, Oxnard, CA 93033-4501 | 2016-02-22 |
| 1669738159 | County of Ventura | Clinic/Center | 2220 E Gonzales Rd Ste 120a-b, Oxnard, CA 93036-3707 | 2012-04-09 |
| 1154600336 | County of Ventura | Clinic/Center | 2400 S C St, Oxnard, CA 93033 | 2011-08-05 |
| 1952542896 | County of Ventura | Clinic/Center | 2400 S C St, Oxnard, CA 93033 | 2009-03-23 |
| Find all providers in OXNARD | ||||
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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.