Individual provider Active NPI

Patrick Dennis Buchanan, M.D.

  • Interventional Pain Medicine Physician
  • Camarillo, CA
National Provider Identifier
1275828568
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A135551 Issued in CA
Practice address
1100 Paseo Camarillo
Camarillo, CA 93010-6073
Phone
(805) 484-8558
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A135551 CA Primary

Addresses

Primary practice location

1100 Paseo Camarillo
Camarillo, CA 93010-6073

Mailing address

1100 Paseo Camarillo
Camarillo, CA 93010-6073
Phone (805) 484-8558

Other identifiers 1

IdentifierTypeStateIssuer
CB257093OtherCAMEDICARE PTAN

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
I20160706000864 CA Practitioner - Pain Management 5799077145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Paseo Camarillo
Camarillo, CA 93010-6073
Phone (805) 484-8558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
48.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135551CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spanish Hills Interventional Pain Specialists Inc a Medical Corp Interventional Pain Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

261 Mobil Ave
#A
Camarillo, CA 93010
Phone (805) 597-8370

1100 Paseo Camarillo
Camarillo, CA 93010
Phone (805) 484-8558

237 Town Ctr W
Santa Maria, CA 93458

Organizations & group practices 1

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 1

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1275828568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PASEO CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106073",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PASEO CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106073",
            "telephone_number": "805-484-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "PATRICK",
        "middle_name": "DENNIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A135551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB257093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.