Active NPI
David Blitzer, M.D.
- Vascular Surgery Physician
- Ventura, CA
National Provider Identifier
1275996142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A186757
- Practice address
- 100 N Brent St Ste 201
Ventura, CA 93003-2835 - Phone
- (805) 643-3330
- NPI assigned
- Mar 30, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A186757 | CA | Primary |
Addresses
Primary practice location
100 N Brent St Ste 201
Ventura, CA 93003-2835
Mailing address
100 N Brent St Ste 201
Ventura, CA 93003-2835
Phone (908) 240-7872
Other practice location 1
2000 Outlet Center Dr Ste 225
Oxnard, CA 93036-0605
Phone (805) 643-3330
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
- Vascular Surgery
- Education
- Rutgers, Robert Woood Johnson Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Outlet Ctr Dr
Suite 225
Oxnard, CA 93036-0605
Phone (805) 643-3330
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
- St Johns Regional Medical Center
- Ventura County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.1 of 100
- Quality
- 88.11
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 63.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 17 |
| Leg revascularization (restoring blood flow) | 69 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A186757 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Cardiovascular and Vein Institute, Inc. | Single Specialty | Current | Accepting new patients |
Locations
3901 Las Posas Rd
Ste 17
Camarillo, CA 93010
Phone (805) 388-2068
2000 Outlet Center Dr
Ste 225
Oxnard, CA 93036
Phone (805) 444-4491
100 N Brent St
Ste 201
Ventura, CA 93003
Phone (805) 620-3499
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Vascular Surgery Physician
- Ventura, CA
- NPI 1134842933
Single Specialty
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1275996142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BRENT ST STE 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032835",
"telephone_number": "908-240-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BRENT ST STE 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032835",
"telephone_number": "805-643-3330"
}
],
"practiceLocations": [
{
"address_1": "2000 Outlet Center Dr Ste 225",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930360605",
"country_code": "US",
"telephone_number": "805-643-3330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLITZER",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A186757",
"primary": true
}
],
"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 Sep 8, 2023; 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.