GARY R MITNICK (NPI# 1568499838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568499838 |
| Entity Type | Individual |
| Full Name | GARY R MITNICK |
| Credential | DO |
| Practice Address |
4310 Tradewinds Dr Ste 300 Oxnard CA 93035-1407 |
| Mailing Address |
4310 Tradewinds Dr Suite 300 Oxnard CA 93035-1407 |
| Practice Telephone | 8059855880 |
| Practice Fax Number | 8059849839 |
| Mailing Telephone | 8059855880 |
| Mailing Fax Number | 8059849839 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A4379 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX43790 | 05 |
| Street Address |
4310 TRADEWINDS DR STE 300 |
| City | OXNARD |
| State | CA |
| Zip Code | 93035-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609106467 | Ci Marina Medical Inc | Family Medicine | 4310 Tradewinds Dr, Ste 300, Oxnard, CA 93035-1407 | 2009-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854972 | Nilda Llorin | Registered Nurse | 2641 New Haven Pl, Oxnard, CA 93035 | 2017-07-25 |
| 1649726365 | Marissa Mikal Riley | Counselor | 801 Raft Lane, Oxnard, CA 93035 | 2016-09-01 |
| 1588021505 | Krysten Ghanie | Behavioral Analyst | 2323 Roosevelt Blvd., Suite #3, Oxnard, CA 93035 | 2016-01-21 |
| 1316245079 | Samantha Garcia | Military Health Care Provider | 124 Glendale Av, Oxnard, CA 93035 | 2011-03-04 |
| 1114241759 | Theresa Dale | Nutritionist | 1237 South Victoria Ave #169, Oxnard, CA 93035 | 2010-03-25 |
| 1053538108 | Tracy Ann Thompson | Counselor | 3201 Harbor Blvd, Oxnard, CA 93035 | 2007-04-19 |
| 1265579841 | Erma Lee Gomes | Technician | 2915 Kelp Ln, 315 Camino Del Remedio Santa Barbara, Oxnard, CA 93035 | 2007-01-31 |
| 1790854198 | David A Packard | Chiropractor | 3600 S Harbor Blvd, Ste 129, Pmb 536, Oxnard, CA 93035 | 2006-11-07 |
| 1699885301 | Norma Beck | Psychologist | 4746 San Sebastian Dr, Oxnard, CA 93035 | 2006-08-30 |
| 1124013057 | John Glenn Taketa | Orthopaedic Surgery | 5011 Shoreline Way, Oxnard, CA 93035 | 2005-09-16 |
| Find all providers in zip 93035 | ||||
| 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 |
|---|---|---|---|---|
| 1710597430 | Raymond F Lopez Jr Md A Professional Corporation | Family Medicine | 933 W 7th St, Oxnard, CA 93030-6755 | 2020-08-06 |
| 1841714334 | Catherine Alexandra Sundloff | Family Medicine | 2220 E Gonzales Rd Ste 120, Oxnard, CA 93036-3707 | 2017-07-27 |
| 1851794226 | Osf Medical Group of California, Inc. | Family Medicine | 640 S B St, Oxnard, CA 93030-7142 | 2014-09-30 |
| 1285983494 | Henry K. Liao, Md Incorporated | Family Medicine | 1532 Saviers Road, Oxnard, CA 93033-1737 | 2012-09-04 |
| 1962772491 | Khoi Dinh Nguyen | Family Medicine | 905 South A Street, Suite #1, Oxnard, CA 93030-9252 | 2011-12-30 |
| 1598076424 | Paul C. Algra | Family Medicine | 1751 Lombard Street, #a, Oxnard, CA 93030 | 2010-06-25 |
| 1487984670 | Brian Bai Clinic | Family Medicine | 1200 N Ventura Rd Ste A, Oxnard, CA 93030-3827 | 2010-01-11 |
| 1851521207 | Mish Pearl | Family Medicine | 2240 E Gonzales Rd Unit 120, Oxnard, CA 93036 | 2009-07-20 |
| 1316108053 | Darin Chambers | Family Medicine | 2400 S C St, Oxnard, CA 93033 | 2008-06-24 |
| 1144424102 | Brian C Bai | Family Medicine | 331 S C St, Ste A., Oxnard, CA 93030-5824 | 2007-06-13 |
| 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.