| Clinicas Del Camino Real Inc Fillmore | |
|
355 Central Ave Fillmore CA 93015-1920 | |
| (805) 524-4926 | |
| Not Available |
| Full Name | Clinicas Del Camino Real Inc Fillmore |
|---|---|
| Speciality | Clinic/Center |
| Location | 355 Central Ave, Fillmore, California |
| Authorized Official Name and Position | Farhad Benharash (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8056591740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinicas Del Camino Real Inc Fillmore 200 S Wells Rd Suite 200 Ventura CA 93004-1302 Ph: (805) 659-1740 | Clinicas Del Camino Real Inc Fillmore 355 Central Ave Fillmore CA 93015-1920 Ph: (805) 524-4926 |
| NPI Number | 1912123431 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 3173434396 |
|---|---|
| Medicare Enrollment ID | O20100719000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912123431 | NPI | - | NPPES |
| G9088403 | Other | CA | HEALTHY FAMILIES DELTA DE |
| 014891 | Other | CA | HEALTHY FAMILIES ACCESS D |
| 401251 | Other | CA | DELTA DENTAL |
| BCP03907F | Other | CA | EDS CDP EVERY WOMAN COUNT |
| FHC03907F | Medicaid | CA | |
| HAP03907F | Other | CA | HEALTH ACCESS PROGRAM FAM |
| ZZZ30474Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 050000110 (California) | Primary |
Fillmore Family Medical Group Fqhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 828 W Ventura St Ste 100, Fillmore, CA 93015 Phone: 805-524-2000 Fax: 805-524-9601 | |
Sespe Medical, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 Sespe Ave, Fillmore, CA 93015 Phone: 805-524-2559 Fax: 805-524-2596 | |
Community Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 852 W Ventura St, Fillmore, CA 93015 Phone: 805-524-2672 Fax: 805-524-3953 | |
Christine Marie Johnston Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 Sespe Ave Ste C, Fillmore, CA 93015 Phone: 805-524-2000 Fax: 805-524-9601 | |
Mikael Hakansson, M.d. Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 533 Sespe Ave Ste C, Fillmore, CA 93015 Phone: 805-524-2749 Fax: 805-524-6929 | |
Razi Apothecary, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 552 Sespe Ave, Fillmore, CA 93015 Phone: 805-419-2686 | |
Quik Care Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 Central Ave, Fillmore, CA 93015 Phone: 805-524-2559 Fax: 805-524-2596 |