BUENA VISTA FAMILY MEDICAL CENTER INC. NPI 1003836545

NPI Information

NPI: 1003836545
Provider Name: BUENA VISTA FAMILY MEDICAL CENTER, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D1034446

Address:
719 N A ST
OXNARD, CA
ZIP 93030
Phone: (805) 485-9123
Get Directions

BUENA VISTA FAMILY MEDICAL CENTER, INC. is a multi-specialty clinic center in Oxnard, CA. BUENA VISTA FAMILY MEDICAL CENTER, INC. NPI is 1003836545. The provider is registered as an organization entity type.

The provider's business location address is:

719 N A ST
OXNARD, CA
ZIP 93030-309
Phone: (805) 485-9123

The provider's authorized official is Richard X Nguyen .
The authorized official title is President and has the following contact phone number (805) 485-9123.

The CLIA number assigned to this NPI record is 05D1034446 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/22/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty	A56329	CALIFORNIA	Yes
2	261QM2500X	Clinic/Center	Medical Specialty	A56329	CALIFORNIA	X
3	261QP2300X	Clinic/Center	Primary Care	A56329	CALIFORNIA	X

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	00A563290	MEDICAID	CALIFORNIA
2	ZZZ772002	OTHER	CALIFORNIA	BLUE SHIELD PROVIDER NUM

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »