Active NPI
Rose Avenue Family Medical Group a Professional Corporation
- Family Medicine Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ROSE AVENUE FAMILY MEDICAL GROUP A PROFESSIONAL CORPORATION
- Practice address
- 451 W Gonzales Rd Ste 230
Oxnard, CA 93036 - Phone
- (805) 988-1443
- Fax
- (805) 988-0897
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Josephine Soliz, M.D.
- Title
- President
- Phone
- (805) 988-1443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
451 W Gonzales Rd Ste 230
Oxnard, CA 93036
Mailing address
451 W Gonzales Rd Ste 230
Oxnard, CA 93036-0726
Phone (805) 988-1443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ38731Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| GR0028670 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0932496 | Rose Avenue Family Medical Group | Provider-performed microscopy | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
451 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 658-9500
451 W Gonzales Rd
Ste 230
Oxnard, CA 93036
Phone (805) 988-1433
1100 W Gonzales Rd
Ste 210
Oxnard, CA 93036
Phone (805) 988-1443
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Oxnard, CA
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- NPI 1114147402
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- Family Medicine Physician
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- Family Medicine Physician
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- Family Medicine Physician
- Oxnard, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534723200000",
"number": "1114019015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 W GONZALES RD STE 230",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360726",
"telephone_number": "805-988-1443",
"fax_number": "805-988-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 W GONZALES RD STE 230",
"city": "OXNARD",
"state": "CA",
"postal_code": "93036",
"telephone_number": "805-988-1443",
"fax_number": "805-988-0897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE AVENUE FAMILY MEDICAL GROUP A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2018-08-20",
"status": "A",
"authorized_official_last_name": "SOLIZ",
"authorized_official_first_name": "JOSEPHINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-988-1443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER",
"identifier": "ZZZ38731Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0028670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.