Healthcare Provider Details

I. General information

NPI: 1932371671
Provider Name (Legal Business Name): KRISTEN REID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN FARNHAM

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR STE 165
OXNARD CA
93036-2612
US

IV. Provider business mailing address

PO BOX 1204
OAK VIEW CA
93022-1204
US

V. Phone/Fax

Practice location:
  • Phone: 805-289-3203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: