Active NPI
Randall Jon Holtby, M.D.
- Anesthesiology Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A178033
- Practice address
- 1600 N Rose Ave
Oxnard, CA 93030-3722 - Phone
- (805) 988-2500
- NPI assigned
- Apr 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | A178033 | CA | Primary |
Addresses
Primary practice location
1600 N Rose Ave
Oxnard, CA 93030-3722
Mailing address
1600 N Rose Ave
Oxnard, CA 93030-3722
Other practice location 1
3000 Arlington Ave
Ms 1137
Toledo, OH 43614-2595
Phone (419) 383-3514
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
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500
2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5800
Hospital & facility affiliations
- St Johns Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178033 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Springs Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
Locations
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
415 E Harding Way
Ste E
Stockton, CA 95204
Phone (209) 337-4935
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
Organizations & group practices 1
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
- San Bernardino, CA
- NPI 1083928501
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1801320569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N ROSE AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N ROSE AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303722",
"telephone_number": "805-988-2500"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave",
"address_2": "MS 1137",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-3514",
"fax_number": "419-383-3550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLTBY",
"first_name": "RANDALL",
"middle_name": "JON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A178033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.