Active NPI
Ardent Medical Group
- Internal Medicine Physician
- Camarillo, CA
National Provider Identifier
1487967907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A90331
- 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
- Last updated
- Jul 26, 2010
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Camarillo, CA
- NPI 1770528028
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.