Jeffrey Henry Nelson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A13684 Issued in CA

Practice address

321 E Port Hueneme Rd
Port Hueneme, CA 93041-3222

Phone

(805) 652-4267

Fax

(805) 488-8082

NPI assigned

Jul 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffreynelson@cfh.allscriptsdirect.net
• Direct secure messaging: jnelson3509239@oc.providencedirect.org

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.

• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  Medicare reassignment Care Compare group NPD
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1588446892
  NPD
• Community Memorial Health System

  • Orthopaedic Surgery Physician
  • Camarillo, CA
  • NPI 1871919126
  NPD
• Community Memorial Hospital District

  • Home Health Agency
  • Syracuse, NE
  • NPI 1578571329
  NPD (past)

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

• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ventura, CA
  • NPI 1083001010

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ventura, CA
  • NPI 1114111309

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Community Health Clinic/Center
  • Ojai, CA
  • NPI 1154609436

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Oxnard, CA
  • NPI 1497060297

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Gynecologic Oncology Physician
  • Ventura, CA
  • NPI 1619453982

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Port Hueneme, CA
  • NPI 1659656775

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ventura, CA
  • NPI 1700303633

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Orthopaedic Surgery Physician
  • Camarillo, CA
  • NPI 1871919126

  Hospital

  Care Compare affiliation
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1942872106

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1811337199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E PORT HUENEME RD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413222",
            "telephone_number": "805-652-4267",
            "fax_number": "805-488-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JEFFREY",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nacc Port Huneme
• Andrew Guilmond Nadeau, IDC
• Naval Hospital
• Naval Hospital Camp Pendleton
• Laura Lynn Neimark-Gizara, MSW, LCSW
• Adam Joseph Newell, IDC
• Tiana Newell
• Virgil Allen Newton, DIVE IDC
• Donna The Nguyen, PHARMD
• John Hoang Nguyen, PHARMD

• Family Medicine Physician in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.

Verify at the official NPI Registry.