Organization Active NPI

Omega Edwards MD Inc

  • Infectious Disease Physician
  • Camarillo, CA
National Provider Identifier
1265698518
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A103607 Issued in CA
Legal business name
OMEGA EDWARDS MD INC
Practice address
3801 Las Posas Rd
Suite 106-B
Camarillo, CA 93010-1427
Phone
(805) 389-0099
Fax
(805) 389-4884
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. Omega Lavon Edwards, M.D.
Title
President
Phone
(805) 389-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X A103607 CA Primary

Addresses

Primary practice location

3801 Las Posas Rd
Suite 106-B
Camarillo, CA 93010-1427

Mailing address

3801 Las Posas Rd
Suite 106-B
Camarillo, CA 93010-1427
Phone (805) 389-0099

National Provider Directory

National Provider Directory

Locations

400 Camarillo Ranch Rd
#201B
Camarillo, CA 93012
Phone (805) 389-0099

400 Camarillo Ranch Rd
Ste 201B
Camarillo, CA 93012
Phone (805) 389-0099

Practitioners & affiliated clinicians

Practitioners 2

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1265698518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD",
            "address_2": "SUITE 106-B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101427",
            "telephone_number": "805-389-0099",
            "fax_number": "805-389-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD",
            "address_2": "SUITE 106-B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101427",
            "telephone_number": "805-389-0099",
            "fax_number": "805-389-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA EDWARDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "OMEGA",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-389-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A103607",
            "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 Nov 5, 2012; 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.