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ST NAZARENE MEDICAL CLINIC INC
NPI 1275714917
Clinic/Center - Primary Care in Oxnard, CA

Active since November 23, 2007CLIA 05D0963400 · Waiver
1100 N VENTURA RD, SUITE 109, OXNARD, CA 93030(805) 983-0547(805) 983-0423 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Nazarene Medical Clinic Inc NPPES

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

ST NAZARENE MEDICAL CLINIC INC (NPI 1275714917) is a healthcare organization registered as a primary care in Oxnard, California and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Suzanne L Fussell, President, as its authorized official.

NPPES Registry Identity

NPI1275714917
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST NAZARENE MEDICAL CLINIC INC
Location Address1100 N VENTURA RD, SUITE 109Oxnard, CA 93030-3841
Mailing Address1100 North Ventura Rd, Suite 109Oxnard, CA 93030-3814 · (805) 983-0547 · Fax (805) 983-0423
Phone(805) 983-0547
Fax(805) 983-0423
Organization SubpartNo
Authorized OfficialSuzanne L FussellPresident · (805) 983-0547
Enumeration DateNovember 23, 2007
Last NPPES UpdateJanuary 14, 2011
✔ NPI 1275714917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A055383
1100 N VENTURA RD, Oxnard, CA 93030
Open in Google Maps ↗

Other Identifiers 1

Medicare PINW14637CA

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 of Waiver 05D0963400

St Nazarene Medical Clinic Inc Site 2 · Oxnard, CA
Active · expires Jul 27, 2027
CLIA Number05D0963400
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorSuzanne L. Fussell MD
Laboratory Phone(805) 983-0547
Laboratory LocationSt Nazarene Medical Clinic Inc Site 21100 N Ventura Rd, Ste 101, Oxnard, CA 93030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDA MARIE WATTS-SILVA PT
Physical Therapist (Orthopedic)
1100 N VENTURA RD, SUITE NUMBER 103
OXNARD, CA 93030
Ventura County (805) 983-0811
MS. MONICA LINDA NAVA PT
Physical Therapist (Orthopedic)
1100 N VENTURA RD, SUITE NUMBER 103
OXNARD, CA 93030
Ventura County (805) 983-0811
HEALTHWISE HOME CARE SOLUTIONS INC
Home Health
1100 N VENTURA RD, STE 102
OXNARD, CA 93030
Ventura County (805) 983-0086
MS. JAMIE LYNNETTE MASON PT
Physical Therapist (Orthopedic)
1100 N VENTURA RD, SUITE NUMBER 103
OXNARD, CA 93030
Ventura County (805) 983-0811
MRS. JODY BETH SHERMAN PT
Physical Therapist (Orthopedic)
1100 N VENTURA RD, SUITE NUMBER 103
OXNARD, CA 93030
Ventura County (805) 983-0811
DR. BRIAN H TAMURA M.D.
Family Medicine
1100 N VENTURA RD, SUITE 105
OXNARD, CA 93030
Ventura County (805) 983-0897
BRIAN H. TAMURA, M.D., A MEDICAL CORPORATION
Family Medicine
1100 N VENTURA RD, SUITE 105
OXNARD, CA 93030
Ventura County (805) 983-0897

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 St Nazarene Medical Clinic Inc's NPI number?

The NPI number for St Nazarene Medical Clinic Inc is 1275714917. It was assigned to this organization in the NPPES registry on November 23, 2007.

Where is St Nazarene Medical Clinic Inc located?

St Nazarene Medical Clinic Inc is located at 1100 N Ventura Rd Suite 109, Oxnard, CA 93030. The listed phone number is (805) 983-0547.

What is St Nazarene Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does St Nazarene Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0963400) is associated with this NPI, valid through July 27, 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 St Nazarene Medical Clinic Inc was last updated on January 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.