CLINICAS DEL CAMINO REAL INC NPI 1518183904

NPI Information

NPI: 1518183904
Provider Name: CLINICAS DEL CAMINO REAL INC

Doing Business As: CLINICAS DEL CAMINO REAL INC MARAVILLA

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
450 W CLARA ST
OXNARD, CA
ZIP 93033
Phone: (805) 488-0210
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CLINICAS DEL CAMINO REAL INC is a federally qualified health center (fqhc) clinic center in Oxnard, CA. CLINICAS DEL CAMINO REAL INC NPI is 1518183904. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinicas Del Camino Real Inc Maravilla.

The provider's business location address is:

450 W CLARA ST
OXNARD, CA
ZIP 93033-363
Phone: (805) 488-0210

The provider's authorized official is Ronald Freeman .
The authorized official title is Chief Financial Officer and has the following contact phone number (805) 659-2752.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 10/21/2021.

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)	050000461	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	FHC70666F	MEDICAID	CALIFORNIA
2	HAP70666F	OTHER	CALIFORNIA	HEALTH ACCESS PROGRAM FAM
3	ZZZ06123Z	OTHER	CALIFORNIA	BLUE SHIELD
4	BCP70666F	OTHER	CALIFORNIA	EDS CDP EVERY WOMAN COUNT

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

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