| Buena Vista Family Medical Center, Inc. | |
|
719 N A St Oxnard CA 93030-4309 | |
| (805) 485-9123 | |
| Not Available |
| Full Name | Buena Vista Family Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 719 N A St, Oxnard, California |
| Authorized Official Name and Position | Richard X Nguyen (PRESIDENT) |
| Authorized Official Contact | 8054859123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vista Family Medical Center, Inc. 719 N A St Oxnard CA 93030-4309 Ph: (805) 485-9123 | Buena Vista Family Medical Center, Inc. 719 N A St Oxnard CA 93030-4309 Ph: (805) 485-9123 |
| NPI Number | 1003836545 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355394958 |
|---|---|
| Medicare Enrollment ID | O20050223000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003836545 | NPI | - | NPPES |
| 00A563290 | Medicaid | CA | |
| ZZZ772002 | Other | CA | BLUE SHIELD PROVIDER NUM |
| Provider Name | Richard X Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699960708 PECOS PAC ID: 3971556572 Enrollment ID: I20050224000142 |
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