Active NPI
Bennyson Young So, MD
- Critical Care Medicine (Internal Medicine) Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 129351
- Practice address
- 1910 Outlet Center Dr
Oxnard, CA 93036-0677 - Phone
- (805) 988-7004
- NPI assigned
- Jun 5, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 129351 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 129351 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 129351 | CA | Primary |
Addresses
Primary practice location
1910 Outlet Center Dr
Oxnard, CA 93036-0677
Mailing address
1809 Crystal View Cir
Newbury Park, CA 91320-4596
Phone (914) 434-6711
Other practice location 1
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-4017
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
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 Outlet Ctr Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400
Hospital & facility affiliations
- St Johns Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.25 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Critical Care Specialists, Inc. | Critical Care Medicine | Current | Accepting new patients |
| West Coast Pulmonary Physicians a Professional Medical Corporation | Pulmonary Disease | Current | Accepting new patients |
Locations
4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400
4000 Calle Tecate
Ste 105
Camarillo, CA 93012
Phone (805) 485-2400
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
1910 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 485-2400
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- bennyson.so.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 and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Oxnard, CA
- NPI 1861707770
-
- Pulmonary Disease Physician
- Oxnard, CA
- NPI 1558464065
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1407015290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 CRYSTAL VIEW CIR",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913204596",
"telephone_number": "914-434-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 OUTLET CENTER DR",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360677",
"telephone_number": "805-988-7004"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060300001",
"country_code": "US",
"telephone_number": "860-679-4017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SO",
"first_name": "BENNYSON YOUNG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "129351",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "129351",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "129351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.