Active NPI
Edgardo a Falcon MD, Inc.
- General Acute Care Hospital
- Camarillo, CA
National Provider Identifier
1902917321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- A31579
- Legal business name
- EDGARDO A FALCON MD, INC.
- Practice address
- 115 Vientos Rd
Camarillo, CA 93010-1602 - Phone
- (805) 278-7888
- Fax
- (805) 484-2497
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edgardo A Falcon, M.D.
- Title
- President
- Phone
- (805) 278-7888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | A31579 | CA | Primary |
Addresses
Primary practice location
115 Vientos Rd
Camarillo, CA 93010-1602
Mailing address
115 Vientos Rd
Camarillo, CA 93010-1602
Phone (805) 278-7888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417992561 | Other | CA | |
| 1417992561 | Other | CA | 510565371 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Camarillo, CA
- NPI 1417992561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1902917321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 VIENTOS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101602",
"telephone_number": "805-278-7888",
"fax_number": "805-484-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 VIENTOS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101602",
"telephone_number": "805-278-7888",
"fax_number": "805-484-2497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDGARDO A FALCON MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FALCON",
"authorized_official_first_name": "EDGARDO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-278-7888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "A31579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": null,
"identifier": "1417992561",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "510565371",
"identifier": "1417992561",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.