Individual provider Active NPI

Gergana T Nelson, MD

  • Pulmonary Disease Physician
  • Oxnard, CA
National Provider Identifier
1972846954
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A134750 Issued in CA
Practice address
1910 Outlet Center Dr
Oxnard, CA 93036-0677
Phone
(805) 485-2400
Fax
(805) 485-3025
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A134750 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Pulmonary Disease Physician 207RP1001X A134750 CA Primary

Addresses

Primary practice location

1910 Outlet Center Dr
Oxnard, CA 93036-0677

Mailing address

1910 Outlet Center Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400

Other practice location 1

4000 Calle Tecate Ste 105
Camarillo, CA 93012-5283
Phone (805) 485-2400

Other practice location 2

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (310) 825-7375

Other names 1

  • Gerganaa T Tomova Former name

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
I20180619001714 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4385999150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1910 Outlet Ctr Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • St. John's Hospital Camarillo D/P SNF Nursing home, Camarillo, CA, CCN 555223

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134750CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Pulmonary Physicians a Professional Medical Corporation Pulmonary Disease CurrentSince Aug 1, 2018 Accepting new patients
Dignity Health Past Accepting new patients

Locations

4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400

4000 Calle Tecate
Ste 105
Camarillo, CA 93012
Phone (805) 485-2400

1910 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 485-2400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gerganasofia.nelson.p23@direct.wcp.nextgenshare.com

Organizations & group practices 2

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 2

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1972846954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Calle Tecate Ste 105",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930125283",
            "country_code": "US",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958358",
            "country_code": "US",
            "telephone_number": "310-825-7375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GERGANA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134750",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A134750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERGANAA",
            "last_name": "TOMOVA",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.