Organization Active NPI

Ardent Medical Group

  • Internal Medicine Physician
  • Camarillo, CA
National Provider Identifier
1487967907
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A90331 Issued in CA
Legal business name
ARDENT MEDICAL GROUP
Practice address
3801 Las Posas Rd
Suite #211
Camarillo, CA 93010-1427
Phone
(805) 389-0099
Fax
(805) 389-4884
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Elizabeth Uyen Nguyen, M.D.
Title
President
Phone
(630) 728-2494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A90331 CA Primary

Addresses

Primary practice location

3801 Las Posas Rd
Suite #211
Camarillo, CA 93010-1427

Mailing address

3805 Hedge LN
Camarillo, CA 93012-7754
Phone (630) 728-2494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1487967907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 HEDGE LN",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127754",
            "telephone_number": "630-728-2494",
            "fax_number": "805-389-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD",
            "address_2": "SUITE #211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101427",
            "telephone_number": "805-389-0099",
            "fax_number": "805-389-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "UYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-728-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.