| Channel Islands Family Medical Clinic | |
|
2800 S Ventura Rd Oxnard CA 93033-4905 | |
| (805) 984-0144 | |
| (805) 487-7445 |
| Full Name | Channel Islands Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2800 S Ventura Rd, Oxnard, California |
| Authorized Official Name and Position | Paduvilan C Narayanan (PARTNER) |
| Authorized Official Contact | 8059840144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Channel Islands Family Medical Clinic 2800 S Ventura Rd Oxnard CA 93033-4905 Ph: (805) 984-0144 | Channel Islands Family Medical Clinic 2800 S Ventura Rd Oxnard CA 93033-4905 Ph: (805) 984-0144 |
| NPI Number | 1083751200 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719003912 |
|---|---|
| Medicare Enrollment ID | O20101206001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083751200 | NPI | - | NPPES |
| GR0016240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A35301 (California) | Primary |
| 208D00000X | General Practice | A35200 (California) | Primary |
| 261Q00000X | Clinic/center | FNP13657 (California) | Primary |
| Provider Name | Ananda Prasad Ananda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912044181 PECOS PAC ID: 4183740384 Enrollment ID: I20100924000882 |
| Provider Name | Paduvilan Chandroth Narayanan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851437511 PECOS PAC ID: 4486842762 Enrollment ID: I20110210000347 |
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