Organization Active NPI

Northridge Medical Group

  • Health Maintenance Organization
  • Oxnard, CA
National Provider Identifier
1508943903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
NORTHRIDGE MEDICAL GROUP
Practice address
1901 Solar Dr
Suite 265
Oxnard, CA 93036-2641
Phone
(805) 988-2280
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary McCormack
Title
Ceo
Phone
(818) 444-5273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1901 Solar Dr
Suite 265
Oxnard, CA 93036-2641

Mailing address

1901 Solar Dr
Suite 265
Oxnard, CA 93036-2641
Phone (805) 988-2280

National Provider Directory

National Provider Directory

Locations

1901 Solar Dr
Ste 265
Oxnard, CA 93036
Phone (805) 604-3324

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508943903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR",
            "address_2": "SUITE 265",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362641",
            "telephone_number": "805-988-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR",
            "address_2": "SUITE 265",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362641",
            "telephone_number": "805-988-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-444-5273"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "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 Aug 22, 2020; 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.