Active NPI
Theresa Enriquez, M.D.
- Family Medicine Physician
- Oxnard, CA
National Provider Identifier
1679514202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G49327
- Practice address
- 210 W 7TH St
Oxnard, CA 93030-7173 - Phone
- (805) 394-0898
- Fax
- (805) 394-0897
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- 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 | G49327 | CA | Primary |
Addresses
Primary practice location
210 W 7TH St
Oxnard, CA 93030-7173
Mailing address
210 W 7TH St
Oxnard, CA 93030-7173
Phone (805) 394-0898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G493270 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49327 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1679514202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W 7TH ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930307173",
"telephone_number": "805-394-0898",
"fax_number": "805-394-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W 7TH ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930307173",
"telephone_number": "805-394-0898",
"fax_number": "805-394-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "THERESA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G49327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G493270",
"state": "CA"
}
],
"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 Jan 10, 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.