CLINICAS DEL CAMINO REAL INC NPI 1982820221

NPI Information

NPI: 1982820221
Provider Name: CLINICAS DEL CAMINO REAL INC

Doing Business As: CLINICAS DEL CAMINO REAL INC NEWBURY PARK

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1000 NEWBURY RD
SUITE 150
NEWBURY PARK, CA
ZIP 91320
Phone: (805) 498-3640
Get Directions

CLINICAS DEL CAMINO REAL INC is a federally qualified health center (fqhc) clinic center in Newbury Park, CA. CLINICAS DEL CAMINO REAL INC NPI is 1982820221. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinicas Del Camino Real Inc Newbury Park.

The provider's business location address is:

1000 NEWBURY RD
SUITE 150
NEWBURY PARK, CA
ZIP 91320-435
Phone: (805) 498-3640
Fax: (805) 498-3641

The provider's authorized official is Farhad Benharash .
The authorized official title is Chief Financial Oficer and has the following contact phone number (805) 659-1740.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 6/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	550000384	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HAP71164F	OTHER	CALIFORNIA	HEALTH ACCESS PROGRAM
2	CMM71164F	MEDICAID	CALIFORNIA
3	ZZZ62823Z	OTHER	CALIFORNIA	BLUE SHIELD
4	FHC71164F	MEDICAID	CALIFORNIA
5	BCP71164F	OTHER	CALIFORNIA	EDS CANCER DETECTION PROG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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