Active NPI
Gagan Pawar, MD
- Family Medicine Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A116898
- Practice address
- 200 S Wells Rd # 200
Ventura, CA 93004-1377 - Phone
- (805) 647-6322
- NPI assigned
- Jul 8, 2008
- Last updated
- Aug 10, 2011
- Sex
- Female
- 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 | A116898 | CA | Primary |
Addresses
Primary practice location
200 S Wells Rd # 200
Ventura, CA 93004-1377
Mailing address
200 S Wells Rd # 200
Ventura, CA 93004-1377
Phone (805) 647-6322
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Newbury Rd
Suite 150
Newbury Park, CA 91320-6438
Phone (805) 498-3640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116898 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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
1000 Newbury Rd
Ste 150
Newbury Park, CA 91320
Phone (805) 498-3640
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
200 S Wells Rd
#200
Ventura, CA 93004
Phone (805) 647-6322
Interoperability endpoints
- gagan.pawar.p1@direct.clinicas.nextgenshare.com
- gpawar802516@direct.ochin.org
- management.enhancedcare.p1@direct.clinicas.nextgenshare.com
Ownership & related parties
All facility ownership & control disclosures 16
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Clinicas del Camino Real, Inc Maravilla | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real, Inc. Oxnard | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real Inc, Newbury Park | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real Inc El Rio | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 Apr 1, 2014 |
| Clinicas del Camino Real , Inc Ventura | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 Apr 1, 2014 |
| Clinicas del Camino Real, Inc., Santa Paula | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real Inc, Ocean View | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 Apr 1, 2014 |
| 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%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Ojai Valley Community Health Center | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Apr 1, 2014 Apr 1, 2014 Apr 1, 2014 |
| Clinicas del Camino Real Inc Fillmore | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real Inc. Simi Valley | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real Inc Moorpark | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real, Inc East Simi Valley | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real Inc-Paseo Camarillo | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) |
Nov 1, 2021 Nov 1, 2021 |
| Clinicas del Camino Real Inc la Colonia | Federally qualified health center | Corporate Officer (100%) W-2 Managing Employee (100%) |
Nov 1, 2021 Nov 1, 2021 |
| 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%) |
Nov 1, 2021 Nov 1, 2021 Nov 1, 2021 |
Owned or controlled facilities with NPI records 16
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Clinicas del Camino Real Inc Santa Paula
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1023234465
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real, Inc., Karen R Burnham
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1093933194
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real Inc El Rio
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1134369366
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real Inc Roberto S Juarez
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real, Inc., Paseo Camarillo
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1295297190
Corporate Officer, W-2 Managing Employee
-
dba Ojai Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Ojai, CA
- NPI 1316163736
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real, Inc., Oxnard
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1396961884
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real Inc Ocean View
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1427276278
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real Inc Maravilla
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1518183904
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real, Inc., Ventura
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real, Inc. Simi Valley Madera
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1720362056
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
dba Clinicas del Camino Real Inc., Moorpark
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1841556404
Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clinicas del Camino Real, Inc., Ventura
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
-
dba Clinicas del Camino Real Inc Roberto S Juarez
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
dba Clinicas del Camino Real, Inc., Paseo Camarillo
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1295297190
-
dba Clinicas del Camino Real, Inc., La Colonia
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1942789359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1417110586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S WELLS RD # 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-647-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD # 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-647-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWAR",
"first_name": "GAGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A116898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.