Ksenija Peharda, MD
Individual provider Active NPI Internal Medicine Physician · Camarillo, CA
NPI 1083615280 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1083615280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A30937 (CA)
- Practice address
- 380 Paseo del Valle
Camarillo, CA 93010-5950 - Phone
- (805) 384-1350
- Fax
- (805) 384-1330
- NPI assigned
- Aug 10, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30937 | CA | MD | Prosthodontist |
| A30937 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physician Partners of Rancho Mirage, Inc | Past | Accepting new patients | |
| Emergency Physicians Medical Group, Inc | Past | Accepting new patients | |
| Homedoc Inc | Internal Medicine | Past | Accepting new patients |
| Camarillo Springs Holistic Medical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A30937 | CA | Yes |
Addresses
Primary practice location
380 Paseo del Valle
Camarillo, CA 93010-5950
Mailing address
380 Paseo del Valle
Camarillo, CA 93010-5950
Phone (805) 384-1350
Other providers in Camarillo, CA
- Sarah Pearl
- Phyllis Mae Pearson
- Robert Benjamin Pechloff
- Mary K Peck
- Kelli Pederson
- Kassandra Pelayo
- Keyla Saray Pena-Salcedo
- Ashley Pena
- Cindy D Pena
- Jairo Pena
All providers in Camarillo, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.