Theresa Enriquez, MD, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G49327 Issued in CA

Legal business name

THERESA ENRIQUEZ, MD, INC

Practice address

210 W 7TH St
Oxnard, CA 93030-7173

Phone

(805) 394-0898

Fax

(805) 394-0897

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Theresa Enriquez, M.D.

Title

President

Phone

(805) 394-0898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1891195210",
    "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": {
        "organization_name": "THERESA ENRIQUEZ, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-394-0898",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G49327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G4932700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.