NPIMap

Individual provider Active NPI

Samuel D Small, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Ventura, CA
National Provider Identifier
1992761894
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
20A4466 Issued in CA
Practice address
168 N Brent St
505
Ventura, CA 93003-2817
Phone
(805) 648-3902
Fax
(805) 648-4014
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 20A4466 CA Primary

Addresses

Primary practice location

168 N Brent St
505
Ventura, CA 93003-2817

Mailing address

168 N Brent St
505
Ventura, CA 93003-2817
Phone (805) 648-3902

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
I20050526001044 CA Practitioner - Orthopedic Surgery 7911961966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

2721 E Main St
Ventura, CA 93003-2803
Phone (805) 667-2841

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince May 17, 2017 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince May 17, 2017 Accepting new patients
Community Memorial Health System Past Accepting new patients
Arbolada Medical Group PastSince Apr 1, 2009 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272

168 N Brent St
Ste 505
Ventura, CA 93003
Phone (805) 648-3902

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

168 N Brent St
Ste 506
Ventura, CA 93003
Phone (805) 648-3204

168 N Brent St
Ste 302
Ventura, CA 93003
Phone (805) 652-6373

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: samuelsmall@cfh.allscriptsdirect.net
  • Direct secure messaging: samuelsmall@mtmg.allscriptsdirect.net
  • Direct secure messaging: ssmall3518564@oc.providencedirect.org

Organizations & group practices 5

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 10

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1992761894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "20A4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.