Healthcare Provider Details

I. General information

NPI: 1003836545
Provider Name (Legal Business Name): BUENA VISTA FAMILY MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 N A ST
OXNARD CA
93030-4309
US

IV. Provider business mailing address

719 N A ST
OXNARD CA
93030-4309
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-9123
  • Fax:
Mailing address:
  • Phone: 805-485-9123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberA56329
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA56329
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA56329
License Number StateCA

VIII. Authorized Official

Name: DR. RICHARD X NGUYEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 805-485-9123