NPIMap

Individual provider Active NPI

Michael J Dorsi, MD

  • Neurological Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1942355854
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A116011 Issued in CA
Practice address
100 Moody CT Ste 200
Thousand Oaks, CA 91360-6082
Phone
(310) 319-3475
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X P19058 MD
Neurological Surgery Physician 207T00000X A116011 CA Primary

Addresses

Primary practice location

100 Moody CT Ste 200
Thousand Oaks, CA 91360-6082

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

6633 Telephone Rd Ste 212
Ventura, CA 93003-5569
Phone (310) 319-3475

Other practice location 2

168 N Brent St
suite 408
Ventura, CA 93003-2817
Phone (805) 643-2179

Other practice location 3

26585 Agoura Rd Ste 330
Calabasas, CA 91302-1958
Phone (310) 319-3475

Other identifiers 1

IdentifierTypeStateIssuer
FB434ZMedicaidCA

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
I20110627000325 CA Practitioner - Neurosurgery 1850579657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

757 Westwood PLZ
Los Angeles, CA 90095-8358

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.91 of 100Reported as group
Quality
68.73
Promoting interoperability
100
Improvement activities
40
Cost
63.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion74
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116011CAMDNeurological Surgery Physician
P19058MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Neurological Surgery CurrentSince Jun 1, 2011 Accepting new patients
The Regents of the University of California Neurological Surgery CurrentSince Jun 1, 2011 Accepting new patients
County of Ventura Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

26585 Agoura Rd
Ste 330
Calabasas, CA 91302
Phone (818) 461-3321

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

File 54206
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2655 1st St
Ste 380
Simi Valley, CA 93065
Phone (805) 583-0110

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

6633 Telephone Rd
Ste 212
Ventura, CA 93003
Phone (805) 312-5133

6633 Telephone Rd
Ste 100
Ventura, CA 93003
Phone (805) 644-9121

1250 La Venta Dr
Ste 112
Westlake Vlg, CA 91361
Phone (805) 371-0770

Interoperability endpoints

  • Direct secure messaging: michaeldorsi@vcnamg.allscriptsdirect.net
  • Direct secure messaging: mdorsi11035@direct.uclahealth.org

Organizations & group practices 6

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 12

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1942355854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOODY CT STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606082",
            "telephone_number": "310-319-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6633 Telephone Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930035569",
            "country_code": "US",
            "telephone_number": "310-319-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 N Brent St",
            "address_2": "suite 408",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032817",
            "country_code": "US",
            "telephone_number": "805-643-2179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26585 Agoura Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021958",
            "country_code": "US",
            "telephone_number": "310-319-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "P19058",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A116011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FB434Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.