Individual provider Active NPI

Marc Warren Judd, M.D.

  • General Practice Physician
  • Moorpark, CA
National Provider Identifier
1124025218
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A66629 Issued in CA
Practice address
301 Science Dr
Suite 190
Moorpark, CA 93021-2094
Phone
(805) 531-9400
Fax
(805) 531-9499
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A66629 CA Primary

Addresses

Primary practice location

301 Science Dr
Suite 190
Moorpark, CA 93021-2094

Mailing address

301 Science Dr
Suite 190
Moorpark, CA 93021-2094
Phone (805) 531-9400

Other identifiers 1

IdentifierTypeStateIssuer
A66629OtherCASTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000252 CA Practitioner - General Practice 5698932754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304

301 Science Dr
Suite 180
Moorpark, CA 93021-0800
Phone (805) 955-7030

Hospital & facility affiliations

  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network General Practice Current Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 26, 2012 Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 26, 2012 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 105
Glendale, CA 91205
Phone (818) 242-5299

1975 Verdugo Blvd
La Canada Flintridge, CA 91011
Phone (818) 249-9454

301 Science Dr
Ste 190
Moorpark, CA 93021
Phone (805) 416-1777

301 Science Dr
Ste 180
Moorpark, CA 93021
Phone (805) 529-5265

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

Organizations & group practices 5

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1124025218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCIENCE DR",
            "address_2": "SUITE 190",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212094",
            "telephone_number": "805-531-9400",
            "fax_number": "805-531-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCIENCE DR",
            "address_2": "SUITE 190",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212094",
            "telephone_number": "805-531-9400",
            "fax_number": "805-531-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "MARC",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A66629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A66629",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.