Active NPI
Robert Cunningham Streeter IV, MD
- Family Medicine Physician
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G68874
- Practice address
- 1040 Flynn Rd
Camarillo, CA 93012-5092 - Phone
- (805) 673-3930
- Fax
- (805) 659-3217
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G68874 | CA | Primary |
Addresses
Primary practice location
1040 Flynn Rd
Camarillo, CA 93012-5092
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080627000288 | CA | Practitioner - Family Practice | 6709853740 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Pennsylvania State University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Memorial Health System
Practice addresses (Care Compare)
120 N Ashwood Ave
Ventura, CA 93003-1810
Phone (805) 658-5800
Hospital & facility affiliations
- Community Memorial Hospital - Ojai
- Community Memorial Hospital - Ventura
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68874 | CA | MD | Pharmacist |
| G68874 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients |
Locations
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
200 S Wells Rd
Ventura, CA 93004
Phone (805) 647-6322
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
Interoperability endpoints
- rstreeter3529984@oc.providencedirect.org
Ownership & related parties
All facility ownership & control disclosures 14
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Livingston Memorial Vna | Home health agency | Corporate Director | Apr 1, 2017 |
| Livingston Memorial Vna Hospice | Hospice | Corporate Director | Apr 1, 2017 |
| Clinicas del Camino Real, Inc Maravilla | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real, Inc. Oxnard | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real Inc, Newbury Park | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real Inc El Rio | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real , Inc Ventura | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real Inc, Ocean View | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real, Inc Karen Burnham Health Center | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Ojai Valley Community Health Center | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real Inc Fillmore | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real Inc. Simi Valley | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real Inc Moorpark | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
| Clinicas del Camino Real, Inc-Roberto S Juarez Health Center | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 15, 2022 Aug 15, 2022 Aug 15, 2022 |
Owned or controlled facilities with NPI records 14
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1093933194
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1134369366
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Ojai, CA
- NPI 1316163736
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1396961884
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1427276278
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1518183904
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1720362056
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1841556404
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Fillmore, CA
- NPI 1912123431
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Newbury Park, CA
- NPI 1982820221
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Fillmore, CA
- NPI 1427084862
-
- Rural Health Clinic/Center
- Santa Paula, CA
- NPI 1508222506
-
- Rural Health Clinic/Center
- Santa Paula, CA
- NPI 1689612798
-
- Rural Health Clinic/Center
- Oak View, CA
- NPI 1750329967
-
- Skilled Nursing Facility
- Ojai, CA
- NPI 1770659153
-
- Critical Access Hospital
- Ojai, CA
- NPI 1992876767
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1134369366
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1154432151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125092",
"telephone_number": "805-673-3930",
"fax_number": "805-659-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125092",
"telephone_number": "805-673-3930",
"fax_number": "805-659-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREETER",
"first_name": "ROBERT",
"middle_name": "CUNNINGHAM",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G68874",
"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 Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.