CLINICAS DEL CAMINO REAL INC (NPI# 1720362056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720362056 |
| Entity Type | Organization |
| Organization Name | CLINICAS DEL CAMINO REAL INC |
| Other Organization Name | CLINICAS DEL CAMINO REAL, INC. SIMI VALLEY MADERA |
| Practice Address |
1424 Madera Rd Simi Valley CA 93065-3000 |
| Mailing Address |
200 S Wells Rd Suite 200 Ventura CA 93004-1377 |
| Practice Telephone | 8055225722 |
| Practice Fax Number | 8056720107 |
| Mailing Telephone | 8056591740 |
| Mailing Fax Number | 8056599959 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2014-05-01 |
| Authorized Official Name | MR. ROBERTO S JUAREZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8056591740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
550001837 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550001837 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1720362056 | 05 |
| Other Name | Type Code |
|---|---|
| Clinicas del Camino Real, Inc. Simi Valley Madera | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297190 | Clinicas Del Camino Real Inc | Clinic/Center | 730 Paseo Camarillo, Camarillo, CA 93010-6064 | 2019-04-01 |
| 1134369366 | Clinicas Del Camino Real Inc | Clinic/Center | 221 E Ventura Blvd, Suite 126, Oxnard, CA 93036-0277 | 2009-02-27 |
| 1518183904 | Clinicas Del Camino Real Inc | Clinic/Center | 450 W Clara St, Oxnard, CA 93033-8363 | 2007-04-17 |
| 1942789359 | Clinicas Del Camino Real Inc | Clinic/Center | 801 Cooper Rd, Oxnard, CA 93030-5445 | 2018-08-08 |
| 1841556404 | Clinicas Del Camino Real Inc | Clinic/Center | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2012-04-09 |
| 1427276278 | Clinicas Del Camino Real Inc | Clinic/Center | 4400 Olds Rd, Oxnard, CA 93033-8061 | 2007-04-24 |
| 1093933194 | Clinicas Del Camino Real Inc | Clinic/Center | 1200 N Ventura Rd, Suite E, Oxnard, CA 93030-3863 | 2007-04-23 |
| 1396961884 | Clinicas Del Camino Real Inc | Clinic/Center | 650 Meta St, Oxnard, CA 93030-7182 | 2007-04-17 |
| 1316163736 | Clinicas Del Camino Real Inc | Clinic/Center | 1200 Maricopa Hwy, Ojai, CA 93023-3129 | 2007-04-17 |
| 1912123431 | Clinicas Del Camino Real Inc | Clinic/Center | 355 Central Ave, Fillmore, CA 93015-1920 | 2007-04-17 |
| Street Address |
1424 MADERA RD |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023199510 | Betty Gutman | Social Worker | 1424 Madera Rd, Simi Valley, CA 93065-3053 | 2006-10-18 |
| 1336773811 | Maria Daniela Burbano Pimentle | Physician Assistant | 1424 Madera Rd, Simi Valley, CA 93065-3053 | 2020-02-24 |
| 1144616194 | Manvir Sohal | Family Medicine | 1424 Madera Rd, Simi Valley, CA 93065 | 2015-04-07 |
| 1528361540 | Arunima Agarwal | Pediatrics | 1424 Madera Rd, Simi Valley, CA 93065-3053 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| Find all providers in zip 93065 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609291996 | Clinicas Del Camino Real, Inc | Clinic/Center | 4370 Eve Rd, Simi Valley, CA 93063-2323 | 2014-02-24 |
| 1386886117 | County of Ventura | Clinic/Center | 1227 E Los Angeles Ave, Simi Valley, CA 93065-2871 | 2009-03-25 |
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| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
Please comment or provide details below to improve the information on CLINICAS DEL CAMINO REAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.