Individual provider Active NPI

Bennyson Young So, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Oxnard, CA
National Provider Identifier
1407015290
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
129351 Issued in CA
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

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140719000082 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2163648627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2000
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

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Critical Care Specialists, Inc. Critical Care Medicine CurrentSince Jul 1, 2014 Accepting new patients
West Coast Pulmonary Physicians a Professional Medical Corporation Pulmonary Disease CurrentSince Jan 1, 2021 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.