Active NPI
Eric Todd Birdwell, M.D.
- Family Medicine Physician
- Ventura, CA
National Provider Identifier
1235320722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A55660
- Practice address
- 5850 Thille St
Suite 101
Ventura, CA 93003-5413 - Phone
- (805) 639-9332
- Fax
- (805) 639-9367
- NPI assigned
- Aug 8, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A55660 | CA | Primary |
Addresses
Primary practice location
5850 Thille St
Suite 101
Ventura, CA 93003-5413
Mailing address
5850 Thille St
Suite 101
Ventura, CA 93003-5413
Phone (805) 639-9332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A556600 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5850 Thille St
Suite 101
Ventura, CA 93003-5490
Phone (805) 639-9332
Hospital & facility affiliations
- Assisted Home Care
- Livingston Memorial Visiting Nurse Association
- Community Memorial Hospital - Ventura
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 11 |
| Removal of skin lesions | 82 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55660 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Family Medical Group | Family Medicine | Current | Accepting new patients |
| Community Memorial Health System | Past | Accepting new patients |
Locations
5850 Thille St
Ste 101
Ventura, CA 93003
Phone (805) 639-9332
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGJCDD/Endpoint/BGJCDD
- ericbirdwell@wsfmg.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/BGJCDD
Organizations & group practices 2
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
- Ventura, CA
- NPI 1578750121
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ventura, CA
- NPI 1619929734
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
-
- Home Health Agency
- Ventura, CA
- NPI 1053315739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1235320722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 THILLE ST",
"address_2": "SUITE 101",
"city": "VENTURA",
"state": "CA",
"postal_code": "930035413",
"telephone_number": "805-639-9332",
"fax_number": "805-639-9367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 THILLE ST",
"address_2": "SUITE 101",
"city": "VENTURA",
"state": "CA",
"postal_code": "930035413",
"telephone_number": "805-639-9332",
"fax_number": "805-639-9367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRDWELL",
"first_name": "ERIC",
"middle_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A55660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A556600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.