Healthcare Provider Details

I. General information

NPI: 1831365667
Provider Name (Legal Business Name): CALIFORNIA HEALTHFIRST PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N ROSE AVE SUITE 210
OXNARD CA
93030-3790
US

IV. Provider business mailing address

PO BOX 10968
SAN BERNARDINO CA
92423-0968
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-8058
  • Fax: 805-983-0803
Mailing address:
  • Phone: 909-335-7171
  • Fax: 909-335-7140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LISA PERKO
Title or Position: CFO
Credential:
Phone: 909-335-7171