Active NPI
Bruce Arthur Woodling, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Ventura, CA
National Provider Identifier
1457433971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- G24570
- Practice address
- 148 N Brent St
Suite 102
Ventura, CA 93003-2867 - Phone
- (805) 482-6643
- Fax
- (805) 388-5546
- NPI assigned
- Oct 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | G24570 | CA | Primary |
Addresses
Primary practice location
148 N Brent St
Suite 102
Ventura, CA 93003-2867
Mailing address
643 Crestview Ave
Camarillo, CA 93010-8434
Phone (805) 482-6643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G24570 | Other | CA | BLUE SHIELD |
| 00G245700 | Medicaid | CA |
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
- Family Practice
- Education
- University of Southern California Keck School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
148 N Brent St
Suite 102
Ventura, CA 93003-2818
Phone (805) 482-6643
Hospital & facility affiliations
- Excellent in-Home Care, Inc
- Assisted Home Care
- Assisted Home Hospice
- Community Memorial Hospital - Ventura
- Victoria Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce a Woodling MD Inc | Geriatric Medicine | Current | Accepting new patients |
| Community Memorial Health System | Past | Accepting new patients |
Locations
148 N Brent St
Ste 102
Ventura, CA 93003
Phone (805) 482-6643
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Ventura, CA
- NPI 1164612776
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Ventura, CA
- NPI 1659326825
-
- Community Based Hospice Care Agency
- Santa Barbara, CA
- NPI 1972893782
-
- Home Health Agency
- Ventura, CA
- NPI 1619929734
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457433971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 CRESTVIEW AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930108434",
"telephone_number": "805-482-6643",
"fax_number": "805-388-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 N BRENT ST",
"address_2": "SUITE 102",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032867",
"telephone_number": "805-482-6643",
"fax_number": "805-388-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODLING",
"first_name": "BRUCE",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "G24570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "G24570",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G245700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.