Healthcare Provider Details

I. General information

NPI: 1558032946
Provider Name (Legal Business Name): ROXANNA GEHER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST JOHN'S REGIONAL MEDICAL CENTER - 1600 N ROSE AVE
OXNARD CA
93030-3722
US

IV. Provider business mailing address

1910 OUTLET CENTER DR
OXNARD CA
93036-0677
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax: 805-485-3025
Mailing address:
  • Phone: 54-852-4008
  • Fax: 805-485-3025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP13890
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number542398
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: