Amelia J Breckenridge, M.D.
Individual provider Active NPI Family Medicine Physician · Fillmore, CA
NPI 1801070883 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1801070883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 127903 (CA)
- Practice address
- 828 W Ventura St
Fillmore, CA 93015-1876 - Phone
- (805) 524-2000
- Fax
- (805) 524-8682
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 64.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140521001370 | CA | Practitioner - Family Practice | 3072643360 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127903 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth | Family Medicine | Past | Accepting new patients |
| County of Ventura | Past |
Accepting new patients |
Interoperability endpoints
- amelia.breckenridge@ventura.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42011 | AZ | |
| Family Medicine Physician | 207Q00000X | 127903 | CA | Yes |
Addresses
Primary practice location
828 W Ventura St
Fillmore, CA 93015-1876
Mailing address
133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 677-5312
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amelia.breckenridge@ventura.cernerdirect.com | Direct |
Other providers in Fillmore, CA
- Bautista Medical Group Southern California, Inc.
- Jorge O Bautista
- Boma Corp
- Candice Marie Bowen
- Anita Nanda Brahme
- Kelly Lynn Brooks
- Michelle Denise Brown
- Logan K. Bundy
- Stephanie L Cadman
- Lidia R Calderon
All providers in Fillmore, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.