Individual provider Active NPI

Nathan Carroll, M.D.

  • Family Medicine Physician
  • Santa Paula, CA
National Provider Identifier
1821318684
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A119601 Issued in CA
Practice address
825 N 10TH St
Santa Paula, CA 93060
Phone
(805) 933-8632
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 A119601 CA Primary

Addresses

Primary practice location

825 N 10TH St
Santa Paula, CA 93060

Mailing address

825 N 10TH St
Santa Paula, CA 93060-1309
Phone (805) 933-8632

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nate.carroll@ventura.cernerdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120615000573 CA Practitioner - Family Practice 1658535984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince May 1, 2012 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
County of Ventura Current Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1821318684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930601309",
            "telephone_number": "805-933-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "93060",
            "telephone_number": "805-933-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "NATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A119601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nate.carroll@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Ventura County Secure Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "825 N 10th St",
            "city": "Santa Paula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.