NPIMap

Individual provider Active NPI

Michael C Tushla, MD

  • Family Medicine Physician
  • Santa Paula, CA
National Provider Identifier
1811076961
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54473 Issued in CA
Practice address
400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675
Phone
(805) 525-2121
Fax
(805) 525-3652
NPI assigned
Nov 2, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A54473 CA Primary

Addresses

Primary practice location

400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675

Mailing address

400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675
Phone (805) 525-2121

Other identifiers 5

IdentifierTypeStateIssuer
RHM18553HMedicaidCA
RHM08609FMedicaidCA
ZZT40394FMedicaidCA
050394OtherCABLUE CROSS
RHM08608FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000751 CA Practitioner - Family PracticePractitioner - Emergency Medicine 1658367693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1700 N Rose Ave
Suite 350
Oxnard, CA 93030-7627
Phone (805) 485-7877

400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675
Phone (805) 525-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54473CAMDCritical Care Pharmacist
A54473CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients
Dignity Health Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Community Memorial Health System Past Accepting new patients
County of Ventura Past Accepting new patients

Locations

751 E Daily Dr
Ste 120
Camarillo, CA 93010
Phone (805) 256-7810

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

243 March St
Santa Paula, CA 93060
Phone (805) 525-6112

400 E Santa Barbara St
Ste A
Santa Paula, CA 93060
Phone (805) 525-2121

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811076961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SANTA BARBARA ST",
            "address_2": "SUITE A",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602675",
            "telephone_number": "805-525-2121",
            "fax_number": "805-525-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E SANTA BARBARA ST",
            "address_2": "SUITE A",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602675",
            "telephone_number": "805-525-2121",
            "fax_number": "805-525-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSHLA",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18553H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08609F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40394F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050394",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08608F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.