Vista del Mar Medical Group, Inc
NPI 1942239694ActiveOrganization· Internal Medicine, Nephrology· Oxnard, CA
Internal Medicine, Nephrology in Oxnard, California, registered in NPPES in July 2006. The authorized official on file is Richard K. Westerdoll, CAAMA, CMM, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942239694 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2006 |
| Last updated in NPPES | Nov 12, 2021 |
| Certified by provider | Nov 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | FNP4189 | CA |
| Internal Medicine | 207R00000X | FNP4189 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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