Individual provider Active NPI

Tracy Calvin Vanblargen I, D.D.S

  • Dentist
  • Oxnard, CA
National Provider Identifier
1598904872
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36119 Issued in CA
Practice address
451 W Gonzales Rd Ste 360
Oxnard, CA 93036-0734
Phone
(805) 988-4050
Fax
(805) 988-3392
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36119 CA Primary

Addresses

Primary practice location

451 W Gonzales Rd Ste 360
Oxnard, CA 93036-0734

Mailing address

451 W Gonzales Rd Ste 360
Oxnard, CA 93036-0734
Phone (805) 988-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36119CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1598904872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 360",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360734",
            "telephone_number": "805-988-4050",
            "fax_number": "805-988-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 360",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360734",
            "telephone_number": "805-988-4050",
            "fax_number": "805-988-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBLARGEN",
        "first_name": "TRACY",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36119",
            "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 Sep 20, 2026; 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.