San Juan Medical Clinic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A 52286 Issued in CA

Legal business name

SAN JUAN MEDICAL CLINIC, INC

Practice address

971 W 7TH St
Suite # B
Oxnard, CA 93030-6757

Phone

(805) 483-2500

Fax

(805) 483-2525

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Romany F. Demian, M.D.NPI 1043232085

Title

Owner

Phone

(805) 483-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Romany F. Demian, M.D.

  • Internal Medicine Physician
  • Oxnard, CA
  • NPI 1043232085
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861582033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 W 7TH ST",
            "address_2": "SUITE # B",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306757",
            "telephone_number": "805-483-2500",
            "fax_number": "805-483-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 W 7TH ST",
            "address_2": "SUITE # B",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306757",
            "telephone_number": "805-483-2500",
            "fax_number": "805-483-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMIAN",
        "authorized_official_first_name": "ROMANY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-483-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A 52286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam'S Club Optical
• Sams West Inc
• Albert Gaspi Samson
• Andrew G. Samuels, D.P.M.
• Deborah Ellen Samuels, S.L.P.
• Brenda Cristina Sanchez Casillas, DDS
• Amanda Renee Sanchez, BA PSYCHOLOGY
• Brenda Sanchez
• Christina Ashley Sanchez
• Clarissa Andrea Sanchez

• Clinic/Center in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Clinic/Center 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.