Individual provider Active NPI

Aaron Glucksman, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Agoura, CA
National Provider Identifier
1669817615
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A141914 Issued in CA
Practice address
29848 Westhaven Dr
Agoura, CA 91301-3026
Phone
(818) 903-3296
NPI assigned
May 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A141914 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A141914 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A141914 CA Primary

Addresses

Primary practice location

29848 Westhaven Dr
Agoura, CA 91301-3026

Mailing address

29848 Westhaven Dr
Agoura, CA 91301-3026

Other practice location 1

St. John's Camarillo Hospital - 2309 Antonio Avenue
Camarillo, CA 93010-1414
Phone (805) 389-5800

Other practice location 2

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (310) 900-8090

Other practice location 3

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2562

Other practice location 4

St. John's Regional Medical Center - 1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

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
I20190510001699 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9436478104 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2013
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

State licenses

LicenseStateTypeSpecialty
A141914CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Critical Care Specialists, Inc. Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
SCCT Medical Group, PC Multi-Specialty CurrentSince Apr 3, 2019 Accepting new patients

Locations

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

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

Interoperability endpoints

  • Direct secure messaging: aaron.glucksman.p23@direct.wcp.nextgenshare.com

Organizations & group practices 3

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1669817615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29848 WESTHAVEN DR",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913013026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29848 WESTHAVEN DR",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913013026",
            "telephone_number": "818-903-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. John's Camarillo Hospital - 2309 Antonio Avenue",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101414",
            "country_code": "US",
            "telephone_number": "805-389-5800",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171901",
            "country_code": "US",
            "telephone_number": "310-900-8090",
            "fax_number": "310-900-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060300001",
            "country_code": "US",
            "telephone_number": "860-679-2562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Regional Medical Center - 1600 N Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "93030",
            "country_code": "US",
            "telephone_number": "805-988-2500",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLUCKSMAN",
        "first_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-03",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A141914",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A141914",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A141914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura, CA

Sources for this page

Verify at the official NPI Registry.