Healthcare Provider Details

I. General information

NPI: 1881746659
Provider Name (Legal Business Name): STEVEN T MADHAVAN MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 OUTLET CENTER DR STE 100
OXNARD CA
93036-0669
US

IV. Provider business mailing address

1901 OUTLET CENTER DR STE 100
OXNARD CA
93036-0669
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-3200
  • Fax: 805-988-3707
Mailing address:
  • Phone: 805-988-3200
  • Fax: 805-988-3707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18879
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberC138969
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0059389
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301083635
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC138969
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: