Organization
BUENA VISTA FAMILY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD X NGUYEN M.D. (PRESIDENT)
(805) 485-9123
Entity
Organization
Contact information
Practice address
719 N A ST, OXNARD, CA 93030-4309
(805) 485-9123
Mailing address
719 N A ST, OXNARD, CA 93030-4309
(805) 485-9123
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
A56329
CA
261QM2500X
Medical Specialty Clinic/Center
A56329
CA
261QP2300X
Primary Care Clinic/Center
Primary
A56329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A563290
—
CA
01
—
ZZZ772002
BLUE SHIELD PROVIDER NUM
CA
Enumeration date
07/20/2006
Last updated
09/11/2025
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