N/A

LBN: Vista Del Mar Medical Group, Inc
N/A is an health care organization with primary practice located at 1200 W Gonzales Rd Suite 300, Oxnard CA 93036-3072. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Vista Del Mar Medical Group, Inc can be contacted via phone (805) 983-0691, or through Westerdoll, Richard K via phone (805) 983-0691.

Contact Information

Primary practice address
1200 W Gonzales Rd Suite 300 Oxnard CA 93036-3072
Phone: (805) 983-0691
Fax: (805) 981-1643
Website:
Map and Directions
Authorized official contact:
Name: Westerdoll, Richard K CAAMA, CMM
Phone: (805) 983-0691

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X FNP4189 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X FNP4189 California

Profile Details

NPI number 1942239694
LBN Legal business name Vista Del Mar Medical Group, Inc
DBA Doing business as N/A
Authorized official Westerdoll, Richard K CAAMA, CMM
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Nov 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942239694 NPPES
California Other 110039977 MEDICARE RAILROAD
California MEDICAID ZZZ75566Z MEDICARE RAILROAD
California Other ZZZ34679Z MEDICARE RAILROAD

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