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SAN JUAN MEDICAL CLINIC, INC
NPI 1861582033
Clinic/Center in Oxnard, CA

Active since October 16, 2006CLIA 05D1054097 · Waiver
971 W 7TH ST, SUITE # B, OXNARD, CA 93030(805) 483-2500(805) 483-2525 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San Juan Medical Clinic, Inc NPPES

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

SAN JUAN MEDICAL CLINIC, INC (NPI 1861582033) is a healthcare organization registered as a clinic/center in Oxnard, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Romany F. Demian, Owner, as its authorized official.

NPPES Registry Identity

NPI1861582033
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN JUAN MEDICAL CLINIC, INC
Location Address971 W 7TH ST, SUITE # BOxnard, CA 93030-6757
Mailing Address971 W 7th St, Suite # BOxnard, CA 93030-6757 · (805) 483-2500 · Fax (805) 483-2525
Phone(805) 483-2500
Fax(805) 483-2525
Organization SubpartNo
Authorized OfficialRomany F. DemianOwner · (805) 483-2500
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861582033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A 52286
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
971 W 7TH ST, Oxnard, CA 93030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Juan Medical Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Juan Medical Clinic, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Romany Demian, M.D.
Internal Medicine
NPI 1043232085
971 W 7TH ST # B SUITE # B
Oxnard, CA 93030
(805) 483-2500
✔ PECOSSame address

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 of Waiver 05D1054097

San Juan Medical Clinic Inc · Oxnard, CA
Active · expires May 10, 2028
CLIA Number05D1054097
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorRomany F. Demian
Laboratory Phone(805) 483-2500
Laboratory LocationSan Juan Medical Clinic Inc971 W Seventh St Suite B, Oxnard, CA 93030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 San Juan Medical Clinic, Inc's NPI number?

The NPI number for San Juan Medical Clinic, Inc is 1861582033. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is San Juan Medical Clinic, Inc located?

San Juan Medical Clinic, Inc is located at 971 W 7th St Suite # B, Oxnard, CA 93030. The listed phone number is (805) 483-2500.

What is San Juan Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is San Juan Medical Clinic, Inc enrolled in Medicare?

Yes. San Juan Medical Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Juan Medical Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to San Juan Medical Clinic, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does San Juan Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1054097) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Juan Medical Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.