Individual provider Active NPI

Brittni Mack, PA-C

  • Surgical Physician Assistant
  • Oxnard, CA
National Provider Identifier
1063975753
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
56843 Issued in CA
Practice address
1700 N Rose Ave Ste 470
Oxnard, CA 93030-7659
Phone
(805) 988-2775
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X 56843 CA Primary

Addresses

Primary practice location

1700 N Rose Ave Ste 470
Oxnard, CA 93030-7659

Mailing address

1700 N Rose Ave Ste 470
Oxnard, CA 93030-7659
Phone (805) 988-2775

Other practice location 1

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Other practice location 2

2323 De La Vina St Ste 205
Santa Barbara, CA 93105-3879
Phone (805) 988-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191206002137 CA Practitioner - Physician Assistant 9931532835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Link Neuroscience Institute PCGroup PAC ID 7214435965, 16 clinicians

Practice addresses (Care Compare)

1901 Outlet Ctr Dr
Suite 210
Oxnard, CA 93036-0666
Phone (805) 983-0425

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56843CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Feb 6, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Sep 10, 2019 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Feb 6, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Sep 10, 2019 Accepting new patients
Link in-Patient Services PC Past Accepting new patients

Locations

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

1700 N Rose Ave
Ste 470
Oxnard, CA 93030
Phone (805) 988-2775

2323 De la Vina St
Ste 205
Santa Barbara, CA 93105
Phone (805) 983-0425

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1063975753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 470",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307659",
            "telephone_number": "805-988-2775",
            "fax_number": "805-278-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 470",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307659",
            "telephone_number": "805-988-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064018",
            "country_code": "US",
            "telephone_number": "661-326-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 De La Vina St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931053879",
            "country_code": "US",
            "telephone_number": "805-988-2775",
            "fax_number": "805-278-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "BRITTNI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "56843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.