MEDICARE: 625 NORTH A STREET OXNARD SURGERY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1184325144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	625 NORTH A STREET OXNARD SURGERY CENTER, LLC

Provider Business Mailing Address
First Line	:	625 N A ST STE 300
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-4907
Country	:	US
Telephone Number	:	805-351-0745
Fax Number	:	805-288-6744

Provider Business Practice Location Address
First Line	:	625 N A ST STE 300
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-4907
Country	:	US
Telephone Number	:	805-351-0745
Fax Number	:	805-288-6744

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MATTHEW LEE BLOOM
Credential	:	DO
Telephone Number	:	805-351-0745

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	03/15/2023

Similar Medicare Providers

1629277090 — DR. KATSUNA VICTOR KATO DDS
Practice Location Address:

605 NORTH A STREET
OXNARD, CA
93030-4907

Practice Phone: 805-485-1911
Practice Fax:

1447000138 — KATHLEEN MANALO PELIAS FNP-BC
Practice Location Address:

905 S A ST STE 1
OXNARD, CA
93030-9253

Practice Phone: 805-487-9150
Practice Fax: 805-487-9152

1699778712 — DR. SUCKCHAI TULATHIMUTTE M.D.
Practice Location Address:

1700 N ROSE AVE , STE 430
OXNARD, CA
93030-7657

Practice Phone: 805-485-8722
Practice Fax: 805-485-9311

1568465649 — DR. LISA LOUISE BABASHOFF M.D.
Practice Location Address:

1700 N ROSE AVE , STE 430
OXNARD, CA
93030-7657

Practice Phone: 805-485-8722
Practice Fax: 805-485-9311

1164425245 — DR. TIMOTHY GORDON BRYANT M.D.
Practice Location Address:

1700 N ROSE AVE , STE 430
OXNARD, CA
93030-7657

Practice Phone: 805-485-8722
Practice Fax: 805-485-9311

1881697951 — DR. JOSEPH SALVATORE LOPRESTI M.D.
Practice Location Address:

1700 N ROSE AVE , STE 430
OXNARD, CA
93030-7657

Practice Phone: 805-485-8722
Practice Fax: 805-485-9311

Directions to “625 NORTH A STREET OXNARD SURGERY CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.