Active NPI
Richard Pratt, M.D.
- Neurological Surgery Physician
- Ventura, CA
National Provider Identifier
1245264878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- C38032
- Practice address
- 1746F S Victoria Ave # 345
Ventura, CA 93003-6592 - Phone
- (805) 271-4586
- NPI assigned
- Jul 10, 2006
- Last updated
- May 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | C38032 | CA | Primary |
| Neurological Surgery Physician | 207T00000X | 36097291 | IL | |
| Neurological Surgery Physician | 207T00000X | 6201 | NE | |
| Neurological Surgery Physician | 207T00000X | MD2004-0572 | NM | |
| Neurological Surgery Physician | 207T00000X | MD066356L | PA |
Addresses
Primary practice location
1746F S Victoria Ave # 345
Ventura, CA 93003-6592
Mailing address
1746-F S Victoria Avenue # 345
Ventura, CA 93003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C38032 | CA | MD | Neurological Surgery Physician |
| 36097291 | IL | MD | Neurological Surgery Physician |
| 6201 | NE | MD | Neurological Surgery Physician |
| MD2004-0572 | NM | MD | Neurological Surgery Physician |
| MD066356L | PA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Jonesboro, Inc. | Past | Accepting new patients | |
| Jonesboro Neurosurgery Clinic, Inc | Neurological Surgery | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Jonesboro, AR
- NPI 1467514976
-
- Surgery Physician
- Jonesboro, AR
- NPI 1184869943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1245264878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746-F S VICTORIA AVENUE # 345",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746F S VICTORIA AVE # 345",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036592",
"telephone_number": "805-271-4586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "C38032",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "36097291",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NE",
"license": "6201",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NM",
"license": "MD2004-0572",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MD066356L",
"primary": false
}
],
"identifiers": [],
"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 May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.