Active NPI
Nelson Nunez, PA
- Psychiatry Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- PA60737
- Practice address
- 2100 Statham Blvd
Oxnard, CA 93033 - Phone
- (805) 920-7021
- Fax
- (805) 728-1433
- NPI assigned
- Jan 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19277 | TX | |
| Psychiatry Physician | 2084P0800X | PA60737 | CA | Primary |
| Otolaryngology Physician | 207Y00000X | 60737 | CA | |
| Physician Assistant | 363A00000X | PA60737 | CA |
Addresses
Primary practice location
2100 Statham Blvd
Oxnard, CA 93033
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-8705
Phone (805) 673-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Westpark Way
Euless, TX 76040-3963
Phone (817) 488-8998
2100 Statham Blvd
Oxnard, CA 93033-3901
Phone (805) 330-8680
4400 Olds Rd
Oxnard, CA 93033-8061
Phone (805) 986-5551
450 W Clara St
Oxnard, CA 93033-8363
Phone (805) 488-0210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19277 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seema Kazi MD PA | Single Specialty | Current | Accepting new patients |
| Clinicas del Camino Real Inc | Otolaryngology | Past | Accepting new patients |
Locations
200 Westpark Way
Euless, TX 76040
Phone (817) 488-8998
Interoperability endpoints
- nelson.nunez.1@26238.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Mid Cities Psychiatry
- Psychiatry Physician
- Euless, TX
- NPI 1023423514
Single Specialty
-
dba Clinicas del Camino Real, Inc., Ventura
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1528333101
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1972826931
-
dba Clinicas del Camino Real, Inc., Paseo Camarillo
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1295297190
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1427646116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128705",
"telephone_number": "805-673-3930",
"fax_number": "805-728-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STATHAM BLVD",
"city": "OXNARD",
"state": "CA",
"postal_code": "93033",
"telephone_number": "805-920-7021",
"fax_number": "805-728-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "NELSON",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-07",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA19277",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "PA60737",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "60737",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60737",
"primary": false
}
],
"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 Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.