Healthcare Provider Details

I. General information

NPI: 1629539887
Provider Name (Legal Business Name): STERLING GREGORY ADAMS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MARICOPA HWY
OJAI CA
93023-3129
US

IV. Provider business mailing address

1040 FLYNN RD
CAMARILLO CA
93012-5092
US

V. Phone/Fax

Practice location:
  • Phone: 805-640-8293
  • Fax: 805-640-1410
Mailing address:
  • Phone: 805-673-3930
  • Fax: 805-659-3217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A19443
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: