Paul J Dougherty, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G70688 Issued in CA

Practice address

4353 Park Terrace Dr
Ste 150
Westlake Village, CA 91361-4631

Phone

(805) 987-5300

Fax

(818) 707-7668

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of California, Geffen School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul J Dougherty M D IncGroup PAC ID 9739171828, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pdougherty@uvpdlv.intellechartdirect.net

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.

• Paul J Dougherty M D Inc

  • Ophthalmology Physician
  • Westlake Village, CA
  • NPI 1649203639
  Medicare reassignment Care Compare group NPD
• Adv Vision LLC

  • Ophthalmology Physician
  • Santa Maria, CA
  • NPI 1588194104
  NPD Authorized official
• DLV Vision ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Thousand Oaks, CA
  • NPI 1902436348
  NPD
• Abroms Dougherty Vision ASC LLC

  • Ambulatory Surgical Clinic/Center
  • San Luis Obispo, CA
  • NPI 1790384303
  NPD (past)
• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1083744775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR",
            "address_2": "STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614631",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR",
            "address_2": "STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614631",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G70688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G706880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Orcutt Rattigan, Licensed Clinical Social Worker, Inc.
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• Rebekah Ann Dorsey, CPM, LM
• Dot Com Medical, a Medical Corporation
• Laura Dougherty, BS, RBT
• Jennifer Alissa Doyel
• Rylee Doyle
• Dr Kim Chiropractic a Professional Corporation
• Dr. Fisher
• Dr. Mayha Patel, Inc.

• Ophthalmology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.

Verify at the official NPI Registry.