Oxnard Eye Associates Medical Group, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G73456 Issued in CA

Legal business name

OXNARD EYE ASSOCIATES MEDICAL GROUP, INC.

Practice address

351 S B St
Oxnard, CA 93030-5806

Phone

(805) 240-1650

Fax

(805) 240-1953

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sanjay Logani, M.D.

Title

President and Ceo

Phone

(818) 886-6700

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Lori B Birndorf, D.O

  • Ophthalmology Physician
  • Valley Village, CA
  • NPI 1881636496
  NPD (past)
• Marta A Recasens, M. D.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1467541508
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1417060245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY.,",
            "address_2": "SUITE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-886-6700",
            "fax_number": "818-886-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S B ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305806",
            "telephone_number": "805-240-1650",
            "fax_number": "805-240-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17750 Sherman Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913358331",
            "country_code": "US",
            "telephone_number": "818-886-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OXNARD EYE ASSOCIATES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LOGANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "818-886-6700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT015370TLG",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G73456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.