| Buena Medical Group | |
|
905 S A St Ste 1 Oxnard CA 93030-9253 | |
| (805) 487-9150 | |
| (805) 487-9152 |
| Full Name | Buena Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 905 S A St Ste 1, Oxnard, California |
| Authorized Official Name and Position | Naresh R Patel (PRESIDENT) |
| Authorized Official Contact | 7149155779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Medical Group 905 S A St Ste 1 Oxnard CA 93030-9253 Ph: (805) 487-9150 | Buena Medical Group 905 S A St Ste 1 Oxnard CA 93030-9253 Ph: (805) 487-9150 |
| NPI Number | 1669940003 |
|---|---|
| Provider Enumeration Date | 11/03/2018 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 9032457726 |
|---|---|
| Medicare Enrollment ID | O20190205000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669940003 | NPI | - | NPPES |
| 1750605721 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Naresh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750605721 PECOS PAC ID: 7911179700 Enrollment ID: I20111021000221 |
| Provider Name | Ashley T Crisostomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356862791 PECOS PAC ID: 7113299157 Enrollment ID: I20170825000472 |
| Provider Name | Uyen H Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803152 PECOS PAC ID: 4284059767 Enrollment ID: I20200730002625 |
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