Active NPI
Theodore H. Tuschka, M.D.
- Anesthesiology Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G55807
- Practice address
- 147 N Brent St
Ventura, CA 93003-2809 - Phone
- (805) 652-5011
- Fax
- (805) 643-0714
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G55807 | CA | Primary |
Addresses
Primary practice location
147 N Brent St
Ventura, CA 93003-2809
Mailing address
3116 W March LN
Suite 200
Stockton, CA 95219-2369
Phone (209) 473-6555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G558070 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 49.94 of 100
- Quality
- 38.91
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55807 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Anesthesia Medical Group | Anesthesiology | Current | Accepting new patients |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients | |
| Stanford Health Care | Anesthesiology | Past | Accepting new patients |
Locations
3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234
2230 Lynn Rd
Ste 106
Thousand Oaks, CA 91360
Phone (805) 370-3137
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
2900 Townsgate Rd
Ste 201
Westlake Vlg, CA 91361
Phone (805) 496-6789
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Ventura, CA
- NPI 1164465159
-
dba Community Memorial Hospital - Ventura
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Anesthesiology
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1740224468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 W MARCH LN",
"address_2": "SUITE 200",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192369",
"telephone_number": "209-473-6555",
"fax_number": "209-473-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032809",
"telephone_number": "805-652-5011",
"fax_number": "805-643-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUSCHKA",
"first_name": "THEODORE",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G55807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G558070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.