Healthcare Provider Details

I. General information

NPI: 1730065731
Provider Name (Legal Business Name): KRISTINA LYNNE CALAMIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E GONZALES RD
OXNARD CA
93036-8266
US

IV. Provider business mailing address

600 E GONZALES RD
OXNARD CA
93036-8266
US

V. Phone/Fax

Practice location:
  • Phone: 805-278-5008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number604140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: