Provider Demographics
NPI:1407906027
Name:FOCIL, AUGUSTO EDUARDO (MD,MPH,CCD)
Entity Type:Individual
Prefix:DR
First Name:AUGUSTO
Middle Name:EDUARDO
Last Name:FOCIL
Suffix:
Gender:M
Credentials:MD,MPH,CCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S A ST
Mailing Address - Street 2:#105
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-5822
Mailing Address - Country:US
Mailing Address - Phone:805-486-6565
Mailing Address - Fax:805-486-0740
Practice Address - Street 1:300 S A ST
Practice Address - Street 2:#105
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-5822
Practice Address - Country:US
Practice Address - Phone:805-486-6565
Practice Address - Fax:805-486-0740
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44207207R00000X, 2083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A442070Medicaid
BF1275331OtherDEA NUMBER
CAE02540Medicare UPIN
CAA44207AMedicare ID - Type Unspecified