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

Medstat Inc

Organization Family Medicine Physician · NPI 1609362227

Medstat Inc is a Family Medicine Physician in Port Hueneme, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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

430 Park Ave
Port Hueneme, CA 93041-2553
Phone: (805) 487-3881
Fax: (561) 286-5137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1609362227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregorio De Grano — Ceo · (818) 516-8066
NPI enumeratedJuly 6, 2018
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address430 Park Ave, Port Hueneme, CA 93041-2553

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