CLINICAS DEL CAMINO REAL INC (NPI# 1679631907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679631907 |
| Entity Type | Organization |
| Organization Name | CLINICAS DEL CAMINO REAL INC |
| Other Organization Name | CLINICAS DEL CAMINO REAL, INC., VENTURA |
| Practice Address |
200 S Wells Rd Suite 100 Ventura CA 93004-1302 |
| Mailing Address |
200 South Wells Road Suite 200 Ventura CA 93004-1302 |
| Practice Telephone | 8056476322 |
| Practice Fax Number | 8056477164 |
| Mailing Telephone | 8056591740 |
| Mailing Fax Number | 8056599959 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-01-27 |
| 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) |
050000116 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03908F | 05 | |
| CA | HEALTHY FAMILIES DELTA DE | G9088402 | 01 |
| CA | EDS CDP EVERY WOMAN COUNT | BCP03908F | 01 |
| CA | HEALTH ACCESS PROGRAM FAM | HAP03908F | 01 |
| CA | HEALTHY FAMILIES ACCESS D | 014657 | 01 |
| CA | DELTA DENTAL | 201251 | 01 |
| CA | MEDICARE NHIC | W3731 | 01 |
| CA | BLUE SHIELD | ZZZ06124Z | 01 |
| Other Name | Type Code |
|---|---|
| Clinicas del Camino Real, Inc., Ventura | 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 |
| 1396961884 | Clinicas Del Camino Real Inc | Clinic/Center | 650 Meta St, Oxnard, CA 93030-7182 | 2007-04-17 |
| 1316163736 | Clinicas Del Camino Real Inc | Clinic/Center | 1200 Maricopa Hwy, Ojai, CA 93023-3129 | 2007-04-17 |
| Street Address |
200 S WELLS RD SUITE 100 |
| City | VENTURA |
| State | CA |
| Zip Code | 93004-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938109 | Fouzia Anwar Aftab | Family Medicine | 200 S Wells Rd, Suite 100 Clinicas Del Camino Real Inc, Ventura, CA 93004 | 2006-07-22 |
| 1699277046 | Vivek Singh | Dentist | 200 S Wells Rd, Ventura, CA 93004-1377 | 2018-03-01 |
| 1134672280 | Klara Efner | Dentist | 200 S Wells Rd, Suite 100, Ventura, CA 93004-1377 | 2016-07-25 |
| 1427400688 | Kai Chang | Dentist | 200 S Wells Rd, Suite 100, Ventura, CA 93004-1377 | 2016-07-12 |
| 1124496203 | Laureen Lopez Berry | Nurse Practitioner | 200 S Wells Rd, Ventura, CA 93004-1377 | 2015-09-08 |
| 1891179545 | May Chan | Optometrist | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-07-13 |
| 1669854741 | Aillie Hu | Dentist | 200 S Wells Rd, Ventura, CA 93004-1377 | 2015-06-24 |
| 1861879025 | Americashealth Plan, Inc. | Health Maintenance Organization | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-04-27 |
| 1952792335 | Natalie Ferris | Physician Assistant | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-02-06 |
| 1992195127 | Nisha Dilip Patel | Dentist | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877181 | April Lacanilao | Licensed Vocational Nurse | 8415 Newtown St., Ventura, CA 93004 | 2016-08-30 |
| 1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
| 1669761532 | Ted Wrablik | Counselor | 9050 Feather Street, Ventura, CA 93004 | 2011-03-31 |
| 1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
| 1518283191 | Arturo Alamillo Vargas | Social Worker | 200 S, Wells Rd., Suite 200, Ventura, CA 93004 | 2010-04-08 |
| 1891929949 | Roxanne Gaggs | Occupational Therapist | 2387 Portola Drive, Suite A, Ventura, CA 93004 | 2009-05-05 |
| 1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
| 1770720401 | Maria G. Hernandez | Social Worker | 200 S. Wells Rd., Suite 250, Clinicas Del Camino Real, Incorporate, Ventura, CA 93004 | 2009-01-16 |
| 1275725376 | Diane M. Sanchez | Music Therapist | 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2007-08-13 |
| 1487863643 | Richard Dale Story | Pharmacist | 681 Topeka Ave, Ventura, CA 93004 | 2007-05-22 |
| Find all providers in zip 93004 | ||||
| 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 |
|---|---|---|---|---|
| 1619118569 | County of Ventura | Clinic/Center | 300 Hillmont Ave Bldg 340, Ventura, CA 93003-1651 | 2009-03-23 |
| 1780821660 | County of Ventura | Clinic/Center | 133 W. Santa Clara, Ventura, CA 93001-2543 | 2009-01-14 |
| 1982983169 | County of Ventura | Clinic/Center | 3147 Loma Vista Rd, Ventura, CA 93003-2917 | 2011-08-05 |
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| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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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.