NPIMap

Individual provider Active NPI

Jeffrey C Brackett, MD

  • Cardiovascular Disease Physician
  • Ventura, CA
National Provider Identifier
1013919133
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A60080 Issued in CA
Practice address
100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone
(085) 653-0101
NPI assigned
Jun 1, 2005
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A60080 CA Primary

Addresses

Primary practice location

100 N Brent St Ste 301
Ventura, CA 93003-2836

Mailing address

100 N Brent St Ste 301
Ventura, CA 93003-2836
Phone (805) 653-0101

Other practice location 1

1701 Solar Dr Ste 150
Oxnard, CA 93030-0138
Phone (085) 278-4020

Other identifiers 1

IdentifierTypeStateIssuer
GR0001490MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000492 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143127019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Duke University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates Medical GroupGroup PAC ID 6507763471, 13 clinicians

Practice addresses (Care Compare)

168 N Brent St
Suite 503
Ventura, CA 93003-2840
Phone (805) 653-0101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60080CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates Medical Group CurrentSince Aug 1, 2003 Accepting new patients
Dignity Health Past Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

1701 Solar Dr
Ste 150
Oxnard, CA 93030
Phone (805) 278-4020

100 N Brent St
Ste 301
Ventura, CA 93003
Phone (805) 648-2763

168 N Brent St
Ste 503
Ventura, CA 93003
Phone (805) 653-0101

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Memorial Hospital - VenturaVentura, CA, CCN 050394 Hospital Corporate Director Nov 1, 2017
Ojai Valley Community HosptialOjai, CA, CCN 051334 Hospital Corporate Director Nov 1, 2017
Ojai Valley Community HosptialOjai, CA, CCN 05Z334 Hospital Corporate Director Nov 1, 2017
Community Memorial Health SystemSanta Paula, CA, CCN 058609 Rural health clinic Corporate Director Feb 1, 2017
Community Memorial Health SystemFillmore, CA, CCN 058608 Rural health clinic Corporate Director Nov 1, 2017

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1013919133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032836",
            "telephone_number": "805-653-0101",
            "fax_number": "805-641-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032836",
            "telephone_number": "085-653-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Solar Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930300138",
            "country_code": "US",
            "telephone_number": "085-278-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A60080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0001490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.