NPIMap

Organization Active NPI

Mission Medical Care of Southern California

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1174749295
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A67969 Issued in CA
Legal business name
MISSION MEDICAL CARE OF SOUTHERN CALIFORNIA
Practice address
300 W 5TH St
Suite C
Oxnard, CA 93030-0000
Phone
(805) 247-1811
Fax
(805) 483-7981
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Mr. Adrian Rojas, PACNPI 1902826910
Title
Office Manager
Phone
(805) 247-1811

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A67969 CA Primary

Addresses

Primary practice location

300 W 5TH St
Suite C
Oxnard, CA 93030-0000

Mailing address

300 W 5TH St
Suite C
Oxnard, CA 93030-0000
Phone (805) 247-1811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1174749295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 5TH ST",
            "address_2": "SUITE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300000",
            "telephone_number": "805-247-1811",
            "fax_number": "805-483-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 5TH ST",
            "address_2": "SUITE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300000",
            "telephone_number": "805-247-1811",
            "fax_number": "805-483-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL CARE OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-247-1811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67969",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 2007; 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.