Individual provider Active NPI

Brian H Tamura, M.D.

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1720080682
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G14936 Issued in CA
Practice address
1100 N Ventura Rd
Suite 105
Oxnard, CA 93030-3841
Phone
(805) 983-0897
Fax
(805) 981-9587
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G14936 CA Primary

Addresses

Primary practice location

1100 N Ventura Rd
Suite 105
Oxnard, CA 93030-3841

Mailing address

1100 N Ventura Rd
Suite 105
Oxnard, CA 93030-3841
Phone (805) 983-0897

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000349 CA Practitioner - Family Practice 4880739093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G14936CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc Family Medicine CurrentSince Feb 18, 2017 Accepting new patients

Locations

1100 N Ventura Rd
Ste 105
Oxnard, CA 93030
Phone (805) 983-0897

1751 Lombard St
#A
Oxnard, CA 93030
Phone (805) 981-2289

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1720080682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N VENTURA RD",
            "address_2": "SUITE 105",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303841",
            "telephone_number": "805-983-0897",
            "fax_number": "805-981-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N VENTURA RD",
            "address_2": "SUITE 105",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303841",
            "telephone_number": "805-983-0897",
            "fax_number": "805-981-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMURA",
        "first_name": "BRIAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G14936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.