NPIMap

Individual provider Active NPI

Colin Mooney, M.D.

  • Surgery Physician
  • Camarillo, CA
National Provider Identifier
1225560600
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A162997 Issued in CA
Practice address
2486 N Ponderosa Dr Ste D205
Camarillo, CA 93010-2471
Phone
(805) 988-7196
Fax
(805) 988-7197
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A162997 CA Primary

Addresses

Primary practice location

2486 N Ponderosa Dr Ste D205
Camarillo, CA 93010-2471

Mailing address

1700 N Rose Ave Ste 430
Oxnard, CA 93030-7657
Phone (805) 485-8722

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
I20251014003833 CA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5698262509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians

Practice addresses (Care Compare)

168 N Brent St
Suite 302
Ventura, CA 93003-2817
Phone (805) 652-6373

2486 N Ponderosa Dr
Suite D205
Camarillo, CA 93010-2471
Phone (805) 988-7196

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162997CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Nov 15, 2025 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 15, 2025 Accepting new patients
Pacific Central Coast Health Centers Surgery Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
General Surgery Medical Group of Ventura County Surgery Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2486 N Ponderosa Dr
Ste D205
Camarillo, CA 93010
Phone (805) 485-7877

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

1700 N Rose Ave
Ste 430
Oxnard, CA 93030
Phone (805) 485-8722

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

168 N Brent St
Ste 506
Ventura, CA 93003
Phone (805) 648-3204

Interoperability endpoints

  • Direct secure messaging: cmooney90558@albanymed.direct-ci.com

Organizations & group practices 7

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 11

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1225560600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 430",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307657",
            "telephone_number": "805-485-8722",
            "fax_number": "805-485-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 N PONDEROSA DR STE D205",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102471",
            "telephone_number": "805-988-7196",
            "fax_number": "805-988-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "COLIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A162997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.