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CHANNEL ISLANDS FAMILY MEDICAL CLINIC NPI 1083751200


NPI Information

NPI: 1083751200
Provider Name: CHANNEL ISLANDS FAMILY MEDICAL CLINIC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0583993

Address:
2800 S VENTURA RD
OXNARD, CA
ZIP 93033
Phone: (805) 984-0144
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CHANNEL ISLANDS FAMILY MEDICAL CLINIC is an internal medicine in Oxnard, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CHANNEL ISLANDS FAMILY MEDICAL CLINIC NPI is 1083751200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 S VENTURA RD
OXNARD, CA
ZIP 93033-905
Phone: (805) 984-0144
Fax: (805) 487-7445

The provider's authorized official is Paduvilan C Narayanan .
The authorized official title is Partner and has the following contact phone number (805) 984-0144.

The CLIA number assigned to this NPI record is 05D0583993 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/30/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA35301CALIFORNIAYes
2208D00000XGeneral PracticeA35200CALIFORNIAX
3261Q00000XClinic/CenterFNP13657CALIFORNIAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0016240MEDICAIDCALIFORNIA

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

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