Active NPI
Marc Warren Judd, M.D.
- General Practice Physician
- Moorpark, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A66629
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A66629 | Other | CA | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Network
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
- Los Robles Hospital & Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | General Practice | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | 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.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1083976294
CA, General Practice
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Family Medicine Physician
- Simi Valley, CA
- NPI 1912248378
-
- Multi-Specialty Clinic/Center
- Ukiah, CA
- NPI 1417295643
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
Hospital
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.