Internal Medicine & Pediatrics Private Practice, a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A053595 Issued in CA

Legal business name

INTERNAL MEDICINE & PEDIATRICS PRIVATE PRACTICE, A MEDICAL CORPORATION

Practice address

3687 Las Posas Rd
Suite H-187
Camarillo, CA 93010-1482

Phone

(805) 445-4189

Fax

(805) 445-9219

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ragu Nathan, J.D.

Title

Manager

Phone

(818) 671-7700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1790967404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD",
            "address_2": "SUITE H-187",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101482",
            "telephone_number": "805-445-4189",
            "fax_number": "805-445-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD",
            "address_2": "SUITE H-187",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101482",
            "telephone_number": "805-445-4189",
            "fax_number": "805-445-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & PEDIATRICS PRIVATE PRACTICE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "RAGU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-671-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A053595",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A053595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Britannia Louise James Irwin
• Cesar Isgitt
• Tiffany Eizabeth Ishoo
• Catherine Island-Thomas

• 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 Dec 4, 2007; 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.