Healthcare Provider Details

I. General information

NPI: 1518777994
Provider Name (Legal Business Name): EMMANUEL OREGEL PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TOWN CENTER DR # 410
OXNARD CA
93036-1100
US

IV. Provider business mailing address

1000 TOWN CENTER DR # 410
OXNARD CA
93036-1100
US

V. Phone/Fax

Practice location:
  • Phone: 805-586-1152
  • Fax: 805-586-1158
Mailing address:
  • Phone: 805-586-1152
  • Fax: 805-586-1158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA66191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: