Healthcare Provider Details

I. General information

NPI: 1912899030
Provider Name (Legal Business Name): CAROLINE ROSE CARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 LAS PALMAS ST
OXNARD CA
93035-4331
US

IV. Provider business mailing address

108 LAS PALMAS ST
OXNARD CA
93035-4331
US

V. Phone/Fax

Practice location:
  • Phone: 818-534-7727
  • Fax:
Mailing address:
  • Phone: 818-534-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95002731
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number95168009
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: