SAN JUAN MEDICAL CLINIC, INC (NPI# 1861582033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861582033 |
| Entity Type | Organization |
| Organization Name | SAN JUAN MEDICAL CLINIC, INC |
| Practice Address |
971 W 7th St Suite # B Oxnard CA 93030-6757 |
| Practice Telephone | 8054832500 |
| Practice Fax Number | 8054832525 |
| Mailing Telephone | 8054832500 |
| Mailing Fax Number | 8054832525 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROMANY F. DEMIAN (OWNER) |
| Authorized Official Telephone | 8054832500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A 52286 | CA | Ambulatory Health Care Facilities |
| Street Address |
971 W 7TH ST SUITE # B |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-6757 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326411067 | Amigo Baby Inc | Clinic/Center | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2015-11-03 |
| 1144618687 | Community Memorial Hospita | Clinic/Center | 727 Nile River Dr, Oxnard, CA 93036-5354 | 2015-01-07 |
| 1740469402 | Donley Chiropractic Clinic | Clinic/Center | 2045 Saviers Rd Ste 6, Oxnard, CA 93033-3600 | 2007-10-30 |
| 1932732609 | Community Memorial Health System | Clinic/Center | 3655 W 5th St, Oxnard, CA 93030-6424 | 2020-02-20 |
| 1912469651 | Regenerative Medicine Center of Southern California Inc | Clinic/Center | 4310 Tradewinds Dr Ste 300, Oxnard, CA 93035-1410 | 2019-04-02 |
| 1952866675 | Regenerative Medical Center Management LLC | Clinic/Center | 4310 Tradewinds Dr Ste 300, Oxnard, CA 93035-1410 | 2019-02-06 |
| 1164990099 | Ruth Marquez, O.d. Optometric Corporation | Clinic/Center | 2401 N Rose Ave, Oxnard, CA 93036-0602 | 2018-11-08 |
| 1447727623 | American Current Care of California, A Medical Corporation | Clinic/Center | 1851 Lombard St Ste 100, Oxnard, CA 93030-8231 | 2018-10-25 |
| 1730634585 | Marie E.c.s Alejandrino-buell, Dmd, Inc. | Clinic/Center | 2861 N Ventura Rd, #102, Oxnard, CA 93036-2213 | 2016-08-22 |
| 1811367436 | Kaiser Permanente | Clinic/Center | 2200 E Gonzales Rd, Oxnard, CA 93036-0619 | 2015-09-25 |
| Find all providers in OXNARD | ||||
Please comment or provide details below to improve the information on SAN JUAN MEDICAL CLINIC, INC.
| 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.