Individual provider Active NPI

Bethany Marie Brooks, PA-C

  • Medical Physician Assistant
  • Ventura, CA
National Provider Identifier
1942979943
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA66210 Issued in CA
Practice address
168 N Brent St Ste 404
Ventura, CA 93003-2824
Phone
(805) 641-6525
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA66210 CA Primary

Addresses

Primary practice location

168 N Brent St Ste 404
Ventura, CA 93003-2824

Mailing address

168 N Brent St Ste 404
Ventura, CA 93003-2824
Phone (805) 641-6525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112002726 VA Practitioner - Physician Assistant 8921490426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.87 of 100Reported as group
Quality
95.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA66210CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Island View Gastroenterology Assoc. Current Accepting new patients
M Medical Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

168 N Brent St
Ste 404
Ventura, CA 93003
Phone (805) 641-6525

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1942979943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 404",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-641-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 404",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032824",
            "telephone_number": "805-641-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA66210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.