NPIMap

Individual provider Active NPI

Marc A Beaghler, M.D.

  • Urology Physician
  • Ventura, CA
National Provider Identifier
1992796791
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G73931 Issued in CA
Practice address
2705 Loma Vista Rd
Ste 206
Ventura, CA 93003-1581
Phone
(805) 643-4067
Fax
(805) 648-5612
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G73931 CA Primary

Addresses

Primary practice location

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003-1581

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801

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
I20070423000431 CA Practitioner - Urology 0840234761 Reassigns benefits to 1 organization
Practice locations: Oxnard, CA; Ventura, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G73931CAMDUrology Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Aug 1, 2010 Accepting new patients
Community Memorial Health System CurrentSince Aug 1, 2010 Accepting new patients
Community Memorial Health System Past Accepting new patients
Ventura County Urology Medical Group, Inc Urology PastSince Jun 1, 2001 Accepting new patients
Community Memorial Health System Past Accepting new patients
Paul D Silverman MD Past Accepting new patients

Locations

5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900

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

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

117 Pirie Rd
Ste E
Ojai, CA 93023
Phone (805) 640-2323

1202 Maricopa Hwy
Ste D
Ojai, CA 93023
Phone (805) 646-2944

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

250 Citrus Grove Ln
Ste 150
Oxnard, CA 93036
Phone (805) 981-3770

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

2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

242 E Harvard Blvd
Ste C
Santa Paula, CA 93060
Phone (805) 525-9595

258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518

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

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

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

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

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

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

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mbeaghler3518424@oc.providencedirect.org
  • Direct secure messaging: marcbeaghler@cfh.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/12015/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 13

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

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Creighton University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health System 187 clinicians

Practice addresses (Care Compare)

2705 Loma Vista Rd
Suite 206
Ventura, CA 93003-1584
Phone (805) 643-4067

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Community Memorial Hospital - Ojai Hospital, Ojai, CA, CCN 051334
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17
Melanoma (skin cancer) excision1-10

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1992796791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801",
            "fax_number": "805-667-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 LOMA VISTA RD",
            "address_2": "STE 206",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031581",
            "telephone_number": "805-643-4067",
            "fax_number": "805-648-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGHLER",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G73931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.