MISSION MEDICAL GROUP INC. NPI 1558436246

NPI Information

NPI: 1558436246
Provider Name: MISSION MEDICAL GROUP, INC.

Doing Business As: MISSION MEDICAL CORPORATION OF VENTURA COUNTY, INC.

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1150 N VENTURA RD
OXNARD, CA
ZIP 93030
Phone: (805) 983-8810
Get Directions

MISSION MEDICAL GROUP, INC. is a primary care clinic center in Oxnard, CA. MISSION MEDICAL GROUP, INC. NPI is 1558436246. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Medical Corporation Of Ventura County, Inc..

The provider's business location address is:

1150 N VENTURA RD
OXNARD, CA
ZIP 93030-837
Phone: (805) 983-8810
Fax: (805) 983-8821

The provider's authorized official is Marinor Cueto Isidoro-torres .
The authorized official title is Ceo and has the following contact phone number (805) 983-8810.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/2/2011.

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	261QP2300X	Clinic/Center	Primary Care	G63740	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
1	00G637400	MEDICAID	CALIFORNIA
2	E77953	MEDICARE UPIN	CALIFORNIA
3	W18259	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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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