NPIMap

Organization Active NPI

Camarillo Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Camarillo, CA
National Provider Identifier
1013463991
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAMARILLO ENDOSCOPY CENTER LLC
Practice address
4005 Mission Oaks Blvd
Unit a
Camarillo, CA 93012-5156
Phone
(805) 275-0200
NPI assigned
Aug 30, 2016
Last updated
Apr 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Micha Rojany, MDNPI 1073553681
Title
Owner
Phone
(805) 275-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

4005 Mission Oaks Blvd
Unit a
Camarillo, CA 93012-5156

Mailing address

4005 Mission Oaks Blvd
Unit a
Camarillo, CA 93012-5156
Phone (805) 275-0200

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Camarillo Endoscopy Center LLCCCN 05C0002164
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1013463991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 MISSION OAKS BLVD",
            "address_2": "UNIT A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125156",
            "telephone_number": "805-275-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 MISSION OAKS BLVD",
            "address_2": "UNIT A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125156",
            "telephone_number": "805-275-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARILLO ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "ROJANY",
        "authorized_official_first_name": "MICHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-275-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.