Medical Corporation of Southern California

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL CORPORATION OF SOUTHERN CALIFORNIA

Practice address

3687 Las Posas Rd Ste 187H
Camarillo, CA 93010-1431

Phone

(805) 445-4189

Fax

(818) 597-8763

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sudha Reghunathan, MD

Title

Ceo

Phone

(818) 634-7529

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1295305092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD STE 187H",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101431",
            "telephone_number": "805-445-4189",
            "fax_number": "818-597-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD STE 187H",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101431",
            "telephone_number": "805-445-4189",
            "fax_number": "818-597-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CORPORATION OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "REGHUNATHAN",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-634-7529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth McWhorter, FNP-BC
• Raishelle Lian Meagher
• Brenda Kim Means, FNP-BC
• Med Comfort Hospice, Inc.
• Medhat Ayad MD Inc
• Medical Kitchen
• Cynthia Nicole Medina
• Juliette Medina
• Kiersten Medina, LVN
• Leslie Medina

• Internal Medicine Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.