Active NPI
Oxnard Camarillo Anesthesiology Medical Group
- Anesthesiology Physician
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- OXNARD CAMARILLO ANESTHESIOLOGY MEDICAL GROUP
- Practice address
- 2309 Antonio Ave
Camarillo, CA 93010-1414 - Phone
- (805) 988-2500
- NPI assigned
- Jul 13, 2006
- Last updated
- May 15, 2015
- 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. Jon P. Belleville, M.D.
- Title
- General Partner
- Phone
- (310) 440-3131
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
2309 Antonio Ave
Camarillo, CA 93010-1414
Mailing address
3116 W March LN
Ste. 200
Stockton, CA 95219-2369
Phone (209) 473-6555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0081300 | Medicaid | CA | |
| CF8796 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2460 N Ponderosa Dr
Ste A117
Camarillo, CA 93010
Phone (805) 430-0002
2590 E Main St
Ventura, CA 93003
Phone (805) 477-6000
Practitioners & affiliated clinicians
Practitioners 14
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431648000000",
"number": "1548285307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 W MARCH LN",
"address_2": "STE. 200",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192369",
"telephone_number": "209-473-6555",
"fax_number": "209-473-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 ANTONIO AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101414",
"telephone_number": "805-988-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OXNARD CAMARILLO ANESTHESIOLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2015-05-15",
"status": "A",
"authorized_official_last_name": "BELLEVILLE",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "310-440-3131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0081300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CF8796",
"state": "CA"
}
],
"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 May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.