Individual provider Active NPI

Cecilio M Cabansag, M.D.

  • Gastroenterology Physician
  • Oxnard, CA
National Provider Identifier
1417144809
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A24098 Issued in CA
Practice address
991 W 7TH St
Oxnard, CA 93030-6757
Phone
(805) 486-1213
Fax
(805) 486-2443
NPI assigned
Sep 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A24098 CA Primary

Addresses

Primary practice location

991 W 7TH St
Oxnard, CA 93030-6757

Mailing address

991 W 7TH St
Oxnard, CA 93030-6757
Phone (805) 486-1213

Other identifiers 1

IdentifierTypeStateIssuer
00A240980MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A24098CAMDGastroenterology Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8811/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1417144809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306757",
            "telephone_number": "805-486-1213",
            "fax_number": "805-486-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306757",
            "telephone_number": "805-486-1213",
            "fax_number": "805-486-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANSAG",
        "first_name": "CECILIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A24098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A240980",
            "state": "CA"
        }
    ],
    "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 Oct 1, 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.