Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Identity Medical Group, Inc

Organization Internal Medicine Physician · NPI 1326384512

Identity Medical Group, Inc is an Internal Medicine Physician in Camarillo, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

751 E Daily Dr Ste 120
Camarillo, CA 93010-6076
Phone: (805) 256-7810
Fax: (805) 256-7840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (CA)

Record details

NPI number1326384512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Deutsch — General Partner · (805) 256-7810
NPI enumeratedDecember 17, 2012
Last updated in NPPESNovember 18, 2016
Mailing address751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076

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