Healthcare Provider Details

I. General information

NPI: 1649255498
Provider Name (Legal Business Name): DANIEL T FLAMING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 E GONZALES RD STE 100
OXNARD CA
93036-8212
US

IV. Provider business mailing address

3200 TELEGRAPH RD
VENTURA CA
93003-3221
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-5161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC142335
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL1038
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberC142335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: