CLINICAS DEL CAMINO REAL INC MARAVILLA – NPI #1518183904
Clinic/Center

CLINICAS DEL CAMINO REAL INC MARAVILLA is an AHC clinic located in OXNARD, CA. NPPES has assigned the NPI number 1518183904 to CLINICAS DEL CAMINO REAL INC MARAVILLA on April 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLINICAS DEL CAMINO REAL INC MARAVILLA” is a dba name, the actual legal business name for this organization is CLINICAS DEL CAMINO REAL INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jun 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINICAS DEL CAMINO REAL INC MARAVILLA below.

NPI Profile for
CLINICAS DEL CAMINO REAL INC

NPI Number
1518183904
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLINICAS DEL CAMINO REAL INC
Doing Business As (dba): CLINICAS DEL CAMINO REAL INC MARAVILLA
Primary location
450 W CLARA ST
OXNARD, CA 93033-8363
Phone: (805) 488-0210 Fax:
Mailing address
200 S WELLS RD
SUITE 200
VENTURA, CA 93004-1302
Phone: (805) 659-1740 Fax:
Organization Subpart
No
Authorized Official
FARHAD BENHARASH
CHIEF FINANCIAL OFFICER
Phone: (805) 659-1740
Updated
Certification Date
Jun 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLINICAS DEL CAMINO REAL INC MARAVILLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDCAZZZ06123Z
OTHEREDS CDP EVERY WOMAN COUNTCABCP70666F
OTHERHEALTH ACCESS PROGRAM FAMCAHAP70666F
MEDICAIDCAFHC70666F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA 050000461

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.