Individual provider Active NPI

Richard Alan Citrenbaum, M.D.

  • Anesthesiology Physician
  • Ventura, CA
National Provider Identifier
1346331147
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G65926 Issued in CA
Practice address
243 Teloma Dr
Ventura, CA 93003-2139
Phone
(805) 701-2781
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G65926 CA Primary

Addresses

Primary practice location

243 Teloma Dr
Ventura, CA 93003-2139

Mailing address

243 Teloma Dr
Ventura, CA 93003-2139
Phone (805) 701-2781

Other identifiers 1

IdentifierTypeStateIssuer
00G659260MedicaidCA

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
I20100521000312 CA Practitioner - Anesthesiology 9638208150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Maryland School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Springs Anesthesia Services PCGroup PAC ID 6406049592, 90 clinicians
Ventura County Anesthesia Medical Group, Inc.Group PAC ID 7113173543, 16 clinicians

Practice addresses (Care Compare)

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6000

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
70
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
74.49 of 100Reported as group
Quality
35.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65926CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oxnard Camarillo Anesthesiology Medical Group Anesthesiology CurrentSince Jun 1, 2015 Accepting new patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Jun 13, 2020 Accepting new patients
Ventura County Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Sep 1, 2014 Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1700 N Rose Ave
Ste 100
Oxnard, CA 93030
Phone (805) 204-5000

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

415 E Harding Way
Ste E
Stockton, CA 95204
Phone (209) 337-4935

3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1346331147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 TELOMA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032139",
            "telephone_number": "805-701-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 TELOMA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032139",
            "telephone_number": "805-701-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRENBAUM",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G65926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G659260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.