Organization Active NPI

Ezway Solutions, Inc

  • Family Medicine Physician
  • Camarillo, CA
National Provider Identifier
1548595333
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EZWAY SOLUTIONS, INC
Practice address
5235 Mission Oaks Blvd Ste 811
Camarillo, CA 93012-5400
Phone
(805) 603-8071
Fax
(805) 262-6254
NPI assigned
Oct 12, 2009
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. James Donald Dibdin, M.D.
Title
President
Phone
(805) 603-8071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5235 Mission Oaks Blvd Ste 811
Camarillo, CA 93012-5400

Mailing address

5235 Mission Oaks Blvd Ste 811
Camarillo, CA 93012-5400
Phone (805) 603-8071

Other identifiers 1

IdentifierTypeStateIssuer
A39483OtherCALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1548595333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 MISSION OAKS BLVD STE 811",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125400",
            "telephone_number": "805-603-8071",
            "fax_number": "805-262-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 MISSION OAKS BLVD STE 811",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125400",
            "telephone_number": "805-603-8071",
            "fax_number": "805-262-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZWAY SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "DIBDIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-603-8071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A39483",
            "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 Mar 23, 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.