Provider Demographics
NPI:1952528986
Name:JAMES C. GILES M.D.
Entity Type:Organization
Organization Name:JAMES C. GILES M.D.
Other - Org Name:OXNARD ORTHOPAEDIC SURGEONS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-273-2169
Mailing Address - Street 1:PO BOX 5125
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93031-5125
Mailing Address - Country:US
Mailing Address - Phone:661-273-2169
Mailing Address - Fax:661-273-2169
Practice Address - Street 1:1600 N ROSE AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3722
Practice Address - Country:US
Practice Address - Phone:661-273-2169
Practice Address - Fax:661-273-2169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA18174207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A181740Medicaid
CACMS041045Medicaid
CAA18174Medicare ID - Type Unspecified
CAA21221Medicare UPIN