1952426058 NPI number — MR. RIGOBERTO URQUIJO CATCIICA(CADC II-CA)

Table of content: MR. RIGOBERTO URQUIJO CATCIICA(CADC II-CA) (NPI 1952426058)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952426058 NPI number — MR. RIGOBERTO URQUIJO CATCIICA(CADC II-CA)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
URQUIJO
Provider First Name:
RIGOBERTO
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
CATCIICA(CADC II-CA)
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
URQUIJO
Provider Other First Name:
RIGO
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1952426058
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1333 N 6TH ST # A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT HUENEME
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93041-2521
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-320-6135
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
314 W 4TH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-988-1112
Provider Business Practice Location Address Fax Number:
805-988-4883
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  AII0544600418 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2612R0405X . This is a "HEALTH CARE PROVIDER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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