Matthew W Backer (NPI# 1669653861, PAC ID# 7810157807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1669653861 |
| PAC ID by PECOS | 7810157807 |
| Professional Enrollment ID | I20131021001472 |
| Full Name | Matthew W Backer |
| Organization Legal Name | I. GROSSMAN M.D., INC. |
| Address |
2705 Loma Vista Rd Suite 100 Ventura CA 93003-1595 |
| Phone Number | 8059880616 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7113001884 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051331 | SANTA YNEZ VALLEY COTTAGE HOSPITAL |
| 050357 | GOLETA VALLEY COTTAGE HOSPITAL |
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| 050082 | ST JOHNS REGIONAL MEDICAL CENTER |
| 050616 | ST JOHNS PLEASANT VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2309 Antonio Ave, Camarillo, CA 93010-1414 | 8053895655 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
| 1306 Maricopa Hwy, Ojai, CA 93023-3131 | 8056461401 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
| 1600 N Rose Ave, Oxnard, CA 93030-3722 | 8059882872 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
| 2001 N Solar Dr, 135 Grossman Imaging Center, Oxnard, CA 93036-0635 | 8059880616 | I. GROSSMAN M.D., INC. |
| 2151 E Gonzales Rd, 101 Grossman Imaging Center, Oxnard, CA 93036-3712 | 8059880616 | I. GROSSMAN M.D., INC. |
| 315 Camino Del Remedio, Bldg 3, Santa Barbara, CA 93110-1332 | 8056827744 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
| 351 S Patterson, Santa Barbara, CA 93111-2403 | 8056816406 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
| 147 N Brent St, Ventura, CA 93003-2809 | 8056525011 | CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC |
| 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 | 8059880616 | I. GROSSMAN M.D., INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 61% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 61% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 61% |
| Organization Legal Name | I. GROSSMAN M.D., INC. |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irwin Grossman | Diagnostic Radiology | I. Grossman M.d., Inc. | 2001 N Solar Dr, 135 Grossman Imaging Center, Oxnard, CA 93036-0635 |
| Jacob Lawrence Harter | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Jennifer B Kosek | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| William W Millard Ii | Diagnostic Radiology | I. Grossman M.d., Inc. | 2001 N Solar Dr, 135 Grossman Imaging Center, Oxnard, CA 93036-0635 |
| William King | Diagnostic Radiology | I. Grossman M.d., Inc. | 2001 N Solar Dr, 135 Grossman Imaging Center, Oxnard, CA 93036-0635 |
| Benjamin L Johnson | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Gary M Blum | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Ivan Hayward | Diagnostic Radiology | I. Grossman M.d., Inc. | 2900 Loma Vista Rd, Suite 101, Ventura, CA 93003-2909 |
| Ulrike M Hayward | Nuclear Medicine | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Lawrence P Harter | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Street Address |
2705 LOMA VISTA RD SUITE 100 |
| City | VENTURA |
| State | CA |
| Zip | 93003-1595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina L Matts | Hospice/palliative Care | 2705 Loma Vista Rd, Suite 202, Ventura, CA 93003-1580 | |
| Jacob Lawrence Harter | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Srisawai Pattamakom | Obstetrics/gynecology | Community Memorial Health System | 2705 Loma Vista Rd, Suite 206, Ventura, CA 93003-1584 |
| Jennifer B Kosek | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Lauren Elizabeth Mcwhorter | Nurse Practitioner | Community Memorial Health System | 2705 Loma Vista Rd, Suite 206, Ventura, CA 93003-1584 |
| Saumil Mukundrai Gandhi | Nephrology | 2705 Loma Vista Rd, Suite 101, Ventura, CA 93003-1596 | |
| Seyed M Khoddami | Urology | Community Memorial Health System | 2705 Loma Vista Rd, Suite 206, Ventura, CA 93003-1584 |
| James F Mitchell | Emergency Medicine | 2705 Loma Vista Rd, Suite 205, Ventura, CA 93003-1582 | |
| Benjamin L Johnson | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Gary M Blum | Diagnostic Radiology | I. Grossman M.d., Inc. | 2705 Loma Vista Rd, Suite 100, Ventura, CA 93003-1595 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher Robert Skromme | Optometry | 801 S Victoria Ave, Suite 206 Two Trees Optometry, Ventura, CA 93003-0401 | |
| Susan M Roney | Nurse Practitioner | 1290 Sunnycrest Ave, Ventura, CA 93003-1213 | |
| Judy S Scott I | Clinical Social Worker | 899 Via Arroyo, Ventura, CA 93003-1318 | |
| Margaret A Peterson | Family Medicine | 2895 Loma Vista Rd E, Ventura, CA 93003-1522 | |
| John Floryan | Optometry | 2895 Loma Vista Rd, A, Ventura, CA 93003-1522 | |
| Lindsay Oliver | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Maria Margarida Guerra Larson | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Michael C Bishop | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Sara E Rodriguez | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Vika Preddy | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Find all physicians in zip 93003 | |||
| City | VENTURA |
| Zip Code | 93003 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | VENTURA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Matthew W Backer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.