| Clinicas Del Camino Real Inc Santa Paula | |
|
500 E Main St Santa Paula CA 93060-2607 | |
| (805) 933-0895 | |
| Not Available |
| Full Name | Clinicas Del Camino Real Inc Santa Paula |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 E Main St, Santa Paula, 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 Santa Paula 200 S Wells Rd Suite 200 Ventura CA 93004-1302 Ph: (805) 659-1740 | Clinicas Del Camino Real Inc Santa Paula 500 E Main St Santa Paula CA 93060-2607 Ph: (805) 933-0895 |
| NPI Number | 1023234465 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 3173434396 |
|---|---|
| Medicare Enrollment ID | O20100325000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023234465 | NPI | - | NPPES |
| FHC70777F | Medicaid | CA | |
| BCP70777F | Other | CA | EDS CDP EVERY WOMAN COUNT |
| HAP70777F | Other | CA | HEALTH ACCESS PROGRAM FAM |
| ZZZ79971Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 050000511 (California) | Primary |
Gary D Wikholm, Md A Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 247 W Harvard Blvd, Santa Paula, CA 93060 Phone: 805-525-0907 Fax: 805-933-3392 | |
Santa Paula Healthcare Rural Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Main St, Santa Paula, CA 93060 Phone: 805-680-9737 Fax: 805-933-8192 | |
Westside Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Santa Barbara St, Suite A, Santa Paula, CA 93060 Phone: 805-525-2121 Fax: 805-525-3652 | |
Glen City Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 247 March St, Santa Paula, CA 93060 Phone: 805-933-6622 Fax: 806-933-6629 | |
Santa Paula Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 E Harvard Blvd, Suite C, Santa Paula, CA 93060 Phone: 805-525-9595 Fax: 805-525-6667 | |
Premiere Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 258 E Harvard Blvd, Santa Paula, CA 93060 Phone: 805-667-2801 Fax: 805-667-2865 |