Active NPI
Michelle L Daucett, D.O.
- Family Medicine Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6696
- Practice address
- 2721 E Main St
Ventura, CA 93003-2803 - Phone
- (805) 667-2841
- Fax
- (805) 525-6778
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6696 | CA | Primary |
Addresses
Primary practice location
2721 E Main St
Ventura, CA 93003-2803
Mailing address
PO Box 60041
Arcadia, CA 91066-6041
Phone (626) 447-0296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX66960 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040424000345 | CA | Practitioner - Family Practice | 2062408941 | Reassigns benefits to 1 organization |
| I20251013001473 | OK | Practitioner - Family Practice | 2062408941 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 Synergy Way
Holly Hill, FL 32117-2502
205 W Maple
Suite 1000
Enid, FL 73703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6696 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| South Tampa Medical Group PA | Past | Accepting new patients | |
| Ojai Valley Emergency Physicians Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| South Tampa Medical Associates Inc | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients |
Locations
5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672
655 Ventura Ave
Oak View, CA 93022
Phone (805) 649-3750
1202 Maricopa Hwy
Ste A
Ojai, CA 93023
Phone (805) 640-2323
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505
2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770
825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600
258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518
242 E Harvard Blvd
Ste C
Santa Paula, CA 93060
Phone (805) 525-9595
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800
2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067
2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
405 S Oklahoma Ave
Cherokee, OK 73728
Phone 87724284756012
231 S 30th St
Enid, OK 73701
Phone (580) 233-2900
Interoperability endpoints
- michelledaucett@cfh.allscriptsdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Cherokee, OK
- NPI 1881876738
OK
-
- Multi-Specialty Clinic/Center
- Ventura, CA
- NPI 1083001010
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1699564476
-
- Multi-Specialty Clinic/Center
- Oxnard, CA
- NPI 1124067574
-
- Emergency Medicine Physician
- Ojai, CA
- NPI 1134148224
Emergency Medicine
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1114258043
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1588718860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1003873035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60041",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910666041",
"telephone_number": "626-447-0296",
"fax_number": "626-447-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 E MAIN ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032803",
"telephone_number": "805-667-2841",
"fax_number": "805-525-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUCETT",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX66960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.