Healthcare Provider Details

I. General information

NPI: 1972162915
Provider Name (Legal Business Name): JAMES CATLIN CAINES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STATHAM BLVD
OXNARD CA
93033
US

IV. Provider business mailing address

800 S VICTORIA AVE # L4615
VENTURA CA
93009-0003
US

V. Phone/Fax

Practice location:
  • Phone: 805-330-8680
  • Fax: 805-728-1428
Mailing address:
  • Phone: 805-652-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0074972
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A20411
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: