NPIMap

Individual provider Active NPI

Scot J Richardson, M.D.

  • Neurology Physician
  • Ventura, CA
National Provider Identifier
1437141058
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A60878 Issued in CA
Practice address
3555 Loma Vista Rd
Suite 115
Ventura, CA 93003-3161
Phone
(805) 648-3158
Fax
(805) 648-2997
NPI assigned
Aug 19, 2005
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A60878 CA Primary

Addresses

Primary practice location

3555 Loma Vista Rd
Suite 115
Ventura, CA 93003-3161

Mailing address

3555 Loma Vista Rd
Suite 115
Ventura, CA 93003-3161
Phone (805) 648-3158

Other identifiers 2

IdentifierTypeStateIssuer
A60878OtherCALICENSE #
W19218OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000741 CA Practitioner - Neurology 9234198862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3555 Loma Vista Rd
Suite 115
Ventura, CA 93003-3161
Phone (805) 648-3158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60878CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Head Pain and Neurologic Institute Inc Neurology CurrentSince Jul 1, 2005 Accepting new patients
Community Memorial Health System Past Accepting new patients
Albert E Amorteguy MD Neurology Past Accepting new patients
Jeffrey a Leonard MD Neurology Past Accepting new patients
Jeffrey R. Richardson M D PastSince Jul 1, 2005 Accepting new patients

Locations

3555 Loma Vista Rd
Ste 115
Ventura, CA 93003
Phone (805) 648-3158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAGCDD/Endpoint/FAGCDD

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1437141058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD",
            "address_2": "SUITE 115",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-648-3158",
            "fax_number": "805-648-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD",
            "address_2": "SUITE 115",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-648-3158",
            "fax_number": "805-648-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SCOT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A60878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "A60878",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W19218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.