Homedoc Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A30937 Issued in CA

Legal business name

HOMEDOC INC

Practice address

380 Paseo del Valle
Camarillo, CA 93010-5950

Phone

(805) 407-8728

Fax

(805) 384-1330

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ksenija Peharda, MDNPI 1083615280

Title

President

Phone

(805) 407-8728

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ksenija Peharda, MD

  • Internal Medicine Physician
  • Camarillo, CA
  • NPI 1083615280
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679797757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 PASEO DEL VALLE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105950",
            "telephone_number": "805-407-8728",
            "fax_number": "805-384-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 PASEO DEL VALLE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105950",
            "telephone_number": "805-407-8728",
            "fax_number": "805-384-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEDOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEHARDA",
        "authorized_official_first_name": "KSENIJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-407-8728",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina L Hofeldt
• Elizabeth Ann Hoffman, M.S., R.D.N
• Christie Hogan
• Dejuan Xzavier Holmes
• Jessica Nicole Holt
• Lian Rose Honkoski
• Wayne Hoo, RN
• April L Hoover
• Kelsey Hoover
• Kristen Marie Hoover, BCBA

• Internal Medicine Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.