Organization Active NPI

Oxnard - Camarillo Pulmonary and Internal Medicine Medical Group

  • Pulmonary Disease Physician
  • Oxnard, CA
National Provider Identifier
1093705279
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
OXNARD - CAMARILLO PULMONARY AND INTERNAL MEDICINE MEDICAL GROUP
Doing business as
Oxnard - Camarillo Pulmonary and Internal Medicine Medical Group
Practice address
703 North a St
Oxnard, CA 93030-4309
Phone
(805) 485-2340
Fax
(805) 485-1429
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Theodore G Hostetler
Title
President
Phone
(805) 485-2340

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

703 North a St
Oxnard, CA 93030-4309

Mailing address

703 N a St
Oxnard, CA 93030-4309
Phone (805) 485-2340

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ2801852MedicaidCA

Other names 1

  • Oxnard - Camarillo Pulmonary and Internal Medicine Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

703 N A St
Oxnard, CA 93030
Phone (805) 383-2929

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1093705279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N A ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930304309",
            "telephone_number": "805-485-2340",
            "fax_number": "805-485-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NORTH A ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930304309",
            "telephone_number": "805-485-2340",
            "fax_number": "805-485-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXNARD - CAMARILLO PULMONARY AND INTERNAL MEDICINE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-485-2340"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ2801852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxnard - Camarillo Pulmonary and Internal Medicine Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.