DERMATOLOGY MEDICAL GROUP OF OXNARD AND CAMARILLO
NPI 1063606242
Dermatology - Dermatopathology in Camarillo, CA

NPI Status: Active since August 30, 2007

Contact Information

500 PASEO CAMARILLO
SUITE 104
CAMARILLO, CA
ZIP 93010
Phone: (805) 482-4646
Fax: (805) 987-2533

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  • Organization
  • Dermatology
  • Dermatopathology

About DERMATOLOGY MEDICAL GROUP OF OXNARD AND CAMARILLO

Dermatology Medical Group Of Oxnard And Camarillo is a provider established in Camarillo, California operating as a Dermatology with a focus in dermatopathology . The healthcare provider is registered in the NPI registry with number 1063606242 assigned on August 2007. The practitioner's primary taxonomy code is 207ND0900X with license number A75621 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jacob E. Lau M.d. (Managing Partner)

NPI
1063606242
Provider Name
DERMATOLOGY MEDICAL GROUP OF OXNARD AND CAMARILLO
Entity Type
Organization
Location Address
500 PASEO CAMARILLO SUITE 104 CAMARILLO, CA 93010
Location Phone
(805) 482-4646
Location Fax
(805) 987-2533
Mailing Address
500 PASEO CAMARILLO SUITE 104 CAMARILLO, CA 93010
Mailing Phone
(805) 482-4646
Mailing Fax
(805) 987-2533
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
08-30-2007
Last Update Date
05-24-2011
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
A75621
License State
CA
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACOB E. LAU M.D.

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(805) 482-4646

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W1120MEDICARE PIN (08) 

Reviews for DERMATOLOGY MEDICAL GROUP OF OXNARD AND CAMARILLO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063606242
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231201228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 2 + 2 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1063606242 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295828259AFROUZ GERAYLI MD INC
Organization
Internal Medicine500 PASEO CAMARILLO #100
CAMARILLO, CA 93010
(805) 484-1033
1801044839 AFROUZ S. GERAYLI MD
Individual
Internal Medicine500 PASEO CAMARILLO SUITE 100
CAMARILLO, CA 93010
(805) 484-1033
1174755375 SOONHYANG LEE PT
Individual
Physical Therapist (Pediatrics)500 PASEO CAMARILLO SUITE 105
CAMARILLO, CA 93010
(805) 987-6851
1093065336 BRIAN EDWIN JACOBSON PT
Individual
Physical Therapist500 PASEO CAMARILLO SUITE 105
CAMARILLO, CA 93010
(805) 987-6851
1376754051DYNAMIC PHYSICAL AND HAND THERAPY INC
Organization
Clinic/Center (Physical Therapy)500 PASEO CAMARILLO #105
CAMARILLO, CA 93010
(805) 987-6851
1497182497HENG MEDICAL, INC
Organization
Dermatology500 PASEO CAMARILLO SUITE 100
CAMARILLO, CA 93010
(805) 484-1033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063606242, enumerated in the NPI registry as an "organization" on August 30, 2007

The provider is located at 500 Paseo Camarillo Suite 104 Camarillo, Ca 93010 and the phone number is (805) 482-4646

This medical organization specializes in Dermatology with taxonomy code 207ND0900X with a focus in Dermatopathology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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