Active NPI
Lynn S Pluche, DO
- Family Medicine Physician
- Camarillo, CA
National Provider Identifier
1649385311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6094
- Practice address
- 400 Mobil Avenue
Suite C2
Camarillo, CA 93010 - Phone
- (805) 445-3310
- Fax
- (805) 445-3309
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6094 | CA | Primary |
Addresses
Primary practice location
400 Mobil Avenue
Suite C2
Camarillo, CA 93010
Mailing address
400 Mobil Avenue
Suite C2
Camarillo, CA 93010
Phone (805) 445-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX60940 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070307000184 | CA | Practitioner - Family Practice | 7214030535 | Practice locations: Camarillo, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Mobil Ave
Suite C2
Camarillo, CA 93010-6388
Phone (805) 445-3310
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1649385311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MOBIL AVENUE",
"address_2": "SUITE C2",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93010",
"telephone_number": "805-445-3310",
"fax_number": "805-445-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MOBIL AVENUE",
"address_2": "SUITE C2",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93010",
"telephone_number": "805-445-3310",
"fax_number": "805-445-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUCHE",
"first_name": "LYNN",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX60940",
"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 Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.