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ROSE AVENUE FAMILY MEDICAL GROUP A PROFESSIONAL CORPORATION
NPI 1114019015
Family Medicine in Oxnard, CA

Active since September 28, 2006CLIA 05D0932496 · Microscopy
451 W GONZALES RD STE 230, OXNARD, CA 93036(805) 988-1443(805) 988-0897 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rose Avenue Family Medical Group A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE AVENUE FAMILY MEDICAL GROUP A PROFESSIONAL CORPORATION (NPI 1114019015) is a healthcare organization registered as a family medicine in Oxnard, California and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 20, 2027 and lists Josephine Soliz, President, as its authorized official.

NPPES Registry Identity

NPI1114019015
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSE AVENUE FAMILY MEDICAL GROUP A PROFESSIONAL CORPORATION
Location Address451 W GONZALES RD STE 230Oxnard, CA 93036
Mailing Address451 W Gonzales Rd Ste 230Oxnard, CA 93036-0726 · (805) 988-1443 · Fax (805) 988-0897
Phone(805) 988-1443
Fax(805) 988-0897
Organization SubpartNo
Authorized OfficialJosephine SolizPresident · (805) 988-1443
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 20, 2018
✔ NPI 1114019015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
451 W GONZALES RD STE 230, Oxnard, CA 93036
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Other Identifiers 2

MedicaidGR0028670CA
OtherZZZ38731ZCA · Blue Shield Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Avenue Family Medical Group A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Rose Avenue Family Medical Group A Professional Corporation, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Nastassja Bell, MD
Family Practice
NPI 1528630316
451 W GONZALES RD STE 230
Oxnard, CA 93036
(805) 988-1443
✔ PECOS✔ Accepts MedicareSame address
Kristen Anderson Loghry, D.O.
Family Practice
NPI 1790161628
451 W GONZALES RD STE 230
Oxnard, CA 93036
(805) 988-1443
✔ PECOS✔ Accepts MedicareSame address
Helen Ashton, MD
Family Practice
NPI 1730619198
451 W GONZALES RD STE 230
Oxnard, CA 93036
(805) 988-1443
✔ PECOS✔ Accepts MedicareSame address
John Ford, M.D.
Family Practice
NPI 1699851188
451 W GONZALES RD STE 230
Oxnard, CA 93036
(805) 988-1443
✔ PECOS✔ Accepts MedicareSame address
Maria Villasenor, M.D.
Family Practice
NPI 1114147402
451 W GONZALES RD STE 230
Oxnard, CA 93036
(805) 988-1443
✔ PECOS✔ Accepts MedicareSame address
John Ippolito, M.D.
Family Practice
NPI 1376607846
612 SPRING RD BLDG A
Moorpark, CA 93021
(805) 523-5400
✔ PECOS✔ Accepts Medicare18 mi
Autumn Edwards, M.D.
Family Practice
NPI 1669535597
215 PESETAS LN
Santa Barbara, CA 93110
(805) 563-6110
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0932496

Rose Avenue Family Medical Group · Oxnard, CA
Active · expires Aug 20, 2027
CLIA Number05D0932496
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorJosephine Soliz
Laboratory Phone(805) 988-1443
Laboratory LocationRose Avenue Family Medical Group451 W Gonzales Rd Ste 230, Oxnard, CA 93036
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Avenue Family Medical Group A Professional Corporation's NPI number?

The NPI number for Rose Avenue Family Medical Group A Professional Corporation is 1114019015. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Rose Avenue Family Medical Group A Professional Corporation located?

Rose Avenue Family Medical Group A Professional Corporation is located at 451 W Gonzales Rd Ste 230, Oxnard, CA 93036. The listed phone number is (805) 988-1443.

What is Rose Avenue Family Medical Group A Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rose Avenue Family Medical Group A Professional Corporation enrolled in Medicare?

Yes. Rose Avenue Family Medical Group A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Avenue Family Medical Group A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Family Practice, reassign their Medicare billing to Rose Avenue Family Medical Group A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rose Avenue Family Medical Group A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0932496) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rose Avenue Family Medical Group A Professional Corporation was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.