CLINICAS DEL CAMINO REAL INC (NPI# 1912123431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912123431 |
| Entity Type | Organization |
| Organization Name | CLINICAS DEL CAMINO REAL INC |
| Other Organization Name | CLINICAS DEL CAMINO REAL INC FILLMORE |
| Practice Address |
355 Central Ave Fillmore CA 93015-1920 |
| Mailing Address |
200 S Wells Rd Suite 200 Ventura CA 93004-1302 |
| Practice Telephone | 8055244926 |
| Mailing Telephone | 8056591740 |
| Mailing Fax Number | 8056599959 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERTO S. JUAREZ (CHIEF EXECUIVE 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) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HEALTHY FAMILIES ACCESS D | 014891 | 01 |
| CA | DELTA DENTAL | 401251 | 01 |
| CA | BLUE SHIELD | ZZZ30474Z | 01 |
| CA | EDS CDP EVERY WOMAN COUNT | BCP03907F | 01 |
| CA | HEALTH ACCESS PROGRAM FAM | HAP03907F | 01 |
| CA | FHC03907F | 05 | |
| CA | HEALTHY FAMILIES DELTA DE | G9088403 | 01 |
| Other Name | Type Code |
|---|---|
| Clinicas del Camino Real Inc Fillmore | 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 |
355 CENTRAL AVE |
| City | FILLMORE |
| State | CA |
| Zip Code | 93015-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962471078 | Jose Manuel Mendoza | Nurse Practitioner | 355 Central Ave, Fillmore, CA 93015-1920 | 2006-03-14 |
| 1053836189 | Jonathan Nguyen | Dentist | 355 Central Ave, Fillmore, CA 93015-1920 | 2017-08-09 |
| 1841747243 | Giovanna Voshall | Dentist | 355 Central Ave, Fillmore, CA 93015-1920 | 2016-09-02 |
| 1245613348 | Nandinidevi Ramaswamy | Internal Medicine | 355 Central Ave, Fillmore, CA 93015 | 2015-07-07 |
| 1013269109 | Natalie Christie Saghbazarian | Dentist | 355 Central Ave, Fillmore, CA 93015-1920 | 2012-10-12 |
| 1306116488 | Doris A Elenes-sancho | Social Worker | 355 Central Ave, Fillmore, CA 93015-1920 | 2012-01-06 |
| 1558374215 | Anita Nanda Brahme | Dentist | 355 Central Ave, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471830 | Sarah Jeanette Ettinger | Student in an Organized Health Care Education/Training Program | Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1518522341 | Elizabeth Pandian | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1407350549 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 328 Central Ave, Fillmore, CA 93015 | 2018-03-22 |
| 1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
| 1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
| 1487726766 | Alejandro Echeverry | Dentist | 1317 Ventura St, Suite C, Fillmore, CA 93015 | 2006-11-14 |
| 1265545321 | Nasr N Anees | Family Medicine | 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-15 |
| 1487219358 | Roxana Ardebili | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1235794009 | Philip Wan | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1679138531 | Gretel Dayna D'souza | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| Find all providers in zip 93015 | ||||
| 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 |
|---|---|---|---|---|
| 1134360076 | County of Ventura | Clinic/Center | 828 W Ventura St Ste 100, Fillmore, CA 93015-1877 | 2009-03-23 |
| 1720544141 | Mountain Health & Community Services, Inc | Clinic/Center | 427 Central Ave, Fillmore, CA 93015-1329 | 2019-02-11 |
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| 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.