Individual provider Active NPI

Niusha Damaghi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Oxnard, CA
National Provider Identifier
1417210600
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A136919 Issued in CA
Practice address
St. John's Regional Medical Center - 1600 N Rose Avenue
Oxnard, CA 93030-9303
Phone
(000) 000-0000
Fax
(805) 485-3025
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 MT202538 PA
Pulmonary Disease Physician 207RP1001X A136919 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A136919 CA Primary

Addresses

Primary practice location

St. John's Regional Medical Center - 1600 N Rose Avenue
Oxnard, CA 93030-9303

Mailing address

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

Other practice location 1

St. John's Pleasant Valley Hospital - 2309 Antonio Ave
Camarillo, CA 93010-9303
Phone (000) 000-0000

Other practice location 2

2020 Zonal Ave
Ird 723
Los Angeles, CA 90089-0121
Phone (323) 226-7923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180618001727 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 1951656842 Reassigns benefits to 1 organization
I20200720001007 TX Practitioner - Internal Medicine 1951656842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2012
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

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
MT202538PAMDInternal Medicine Physician
A136919CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation CurrentSince Apr 28, 2020 Accepting new patients
West Coast Critical Care Specialists, Inc. Critical Care Medicine CurrentSince Jul 1, 2018 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Apr 28, 2020 Accepting new patients
Usc Care Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

4000 Calle Tecate
Ste 115
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

  • Direct secure messaging: niusha.damaghi.p23@direct.wcp.nextgenshare.com

Organizations & group practices 6

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1417210600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JOHN'S REGIONAL MEDICAL CENTER - 1600 N ROSE AVENUE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930309303",
            "telephone_number": "000-000-0000",
            "fax_number": "805-485-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. John's Pleasant Valley Hospital - 2309 Antonio Ave",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930109303",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Zonal Ave",
            "address_2": "IRD 723",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900890121",
            "country_code": "US",
            "telephone_number": "323-226-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMAGHI",
        "first_name": "NIUSHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT202538",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A136919",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A136919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.