Organization
PMK MEDICAL GROUP, INC.
Active
Other names
Ventura County Hematology Oncology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA RIVERA MBA (FINANCE & QUALITY OFFICER)
(805) 485-8709
Entity
Organization
Contact information
Practice address
1700 N ROSE AVE STE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-5521
Mailing address
1700 N ROSE AVE, STE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-5521
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
261QX0200X
Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628497
NCPDP/NPDS
CA
05
—
GR0064440
—
CA
01
—
W13337
MEDICARE PTAN
—
01
—
ZZZ45387Z
BLUE SHIELD PROVIDER
CA
Enumeration date
05/24/2005
Last updated
11/26/2025
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