Jillanne W. McCarty, M.D., PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G64125 Issued in CA

Practice address

1280 S Victoria Ave Ste 160
Ventura, CA 93003-6504

Phone

(805) 658-3937

Fax

(805) 658-3930

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316038367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 160",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036504",
            "telephone_number": "805-658-3937",
            "fax_number": "805-658-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 160",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036504",
            "telephone_number": "805-658-3937",
            "fax_number": "805-658-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "JILLANNE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G64125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "010622759",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC.",
            "identifier": "G64125",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G641250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony McCamish, MD
• Gordon Dale McCamley, M.D.
• Doyle Martin McCarthy, MD
• Michael C. McCarthy
• Lindsay McCartney, PHARMD
• Patrick McCaslin, LMFT
• Sheila Diane McClendon
• Francene G McClintock, LPT
• Anthony McCloud Jr.
• Rochida R McClure, LMFT

• Specialist in Ventura, CA
• Providers in Ventura, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.