IDENTITY MEDICAL GROUP, INC.
NPI 1326384512
Internal Medicine in Camarillo, CA

Active since December 17, 2012
751 E DAILY DR, SUITE 120, CAMARILLO, CA 93010(805) 256-7810(805) 256-7840 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2016, Mar 4, 2016 (2 updates tracked since 2016).

About Identity Medical Group, Inc. NPPES

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

IDENTITY MEDICAL GROUP, INC. (NPI 1326384512) is a healthcare organization registered as an internal medicine in Camarillo, California and active in the NPI registry since December 2012. The organization lists Gary M. Deutsch,, General Partner, as its authorized official.

NPPES Registry Identity

NPI1326384512
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIDENTITY MEDICAL GROUP, INC.
Location Address751 E DAILY DR, SUITE 120Camarillo, CA 93010-6076
Mailing Address751 E Daily Dr, Suite 120Camarillo, CA 93010-6076 · (805) 256-7810 · Fax (805) 256-7840
Fax(805) 256-7840
Organization SubpartNo
Authorized OfficialGary M. Deutsch,General Partner · (805) 256-7810
Enumeration DateDecember 17, 2012
Last NPPES UpdateNovember 18, 20162 updates tracked since enumeration
NPI 1326384512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
751 E DAILY DR, Camarillo, CA 93010

Other Identifiers 2

Medicare PINHD754ZCA
Medicare PINHD743ACA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Community Health Worker
751 E DAILY DR
CAMARILLO, CA 93010
Health Maintenance Organization
751 E DAILY DR, SUITE 120
CAMARILLO, CA 93010
Internal Medicine (Geriatric Medicine)
751 E DAILY DR, SUITE 120
CAMARILLO, CA 93010
Nurse Practitioner (Family)
751 E DAILY DR, SUITE 120
CAMARILLO, CA 93010
Nurse Practitioner (Family)
751 E DAILY DR, SUITE 120
CAMARILLO, CA 93010
Nurse Practitioner (Gerontology)
751 E DAILY DR, SUITE 120
CAMARILLO, CA 93010

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 Identity Medical Group, Inc.'s NPI number?

The NPI number for Identity Medical Group, Inc. is 1326384512. It was assigned to this organization in the NPPES registry on December 17, 2012.

Where is Identity Medical Group, Inc. located?

Identity Medical Group, Inc. is located at 751 E Daily Dr Suite 120, Camarillo, CA 93010. The listed phone number is (805) 256-7810.

What is Identity Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Identity Medical Group, Inc. was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.