Individual provider Active NPI

Jubran Sagia Dakwar, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Ventura, CA
National Provider Identifier
1285894659
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
120417 Issued in CA
Practice address
3001 Seaview Ave
Ventura, CA 93001-4241
Phone
(408) 250-6327
NPI assigned
Jun 10, 2008
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 120417 CA Primary

Addresses

Primary practice location

3001 Seaview Ave
Ventura, CA 93001-4241

Mailing address

3001 Seaview Ave
Ventura, CA 93001-4241
Phone (408) 250-6327

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
I20120620000095 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9638333800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Critical Care Specialists, Inc.Group PAC ID 0941498190, 17 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

1910 Outlet Ctr Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120417CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Critical Care Specialists, Inc. Critical Care Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400

1910 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 485-2400

Interoperability endpoints

  • Direct secure messaging: jubran.dakwar.p23@direct.wcp.nextgenshare.com

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.

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1285894659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SEAVIEW AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014241",
            "telephone_number": "408-250-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SEAVIEW AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014241",
            "telephone_number": "408-250-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKWAR",
        "first_name": "JUBRAN",
        "middle_name": "SAGIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "120417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.