NPIMap

Organization Active NPI

Gary J Proffett, MD, Apc

  • Geriatric Medicine (Family Medicine) Physician
  • Oxnard, CA
National Provider Identifier
1427246453
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GARY J PROFFETT, MD, APC
Practice address
1901 Solar Dr
Oxnard, CA 93036-2641
Phone
(805) 658-2552
NPI assigned
Oct 3, 2007
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Gary Proffett, MDNPI 1932254570
Title
President
Phone
(805) 658-2552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X Primary

Addresses

Primary practice location

1901 Solar Dr
Oxnard, CA 93036-2641

Mailing address

46 Calle del Norte
Rancho Mirage, CA 92270-5210
Phone (805) 658-2552

National Provider Directory

National Provider Directory

Locations

10605 Balboa Blvd
Ste 200
Granada Hills, CA 91344
Phone (818) 368-5887

530 E Los Angeles Ave
#115362
Moorpark, CA 93021
Phone (805) 443-3045

1901 Solar Dr
Oxnard, CA 93036
Phone (805) 278-0057

1901 Solar Dr
Ste 165
Oxnard, CA 93036
Phone (805) 278-6840

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1427246453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CALLE DEL NORTE",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705210",
            "telephone_number": "805-658-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362641",
            "telephone_number": "805-658-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY J PROFFETT, MD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "PROFFETT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-658-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2010; 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.