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

Q: What is Dermatology Medical Group Of Oxnard And Camarillo's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Active since August 30, 2007

500 PASEO CAMARILLO, SUITE 104, CAMARILLO, CA 93010(805) 482-4646(805) 987-2533 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dermatology Medical Group Of Oxnard And Camarillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY MEDICAL GROUP OF OXNARD AND CAMARILLO (NPI 1063606242) is a healthcare organization registered as a dermatopathology in Camarillo, California and active in the NPI registry since August 2007. The organization lists Jacob E. Lau, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1063606242

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameDERMATOLOGY MEDICAL GROUP OF OXNARD AND CAMARILLO

Location Address500 PASEO CAMARILLO, SUITE 104Camarillo, CA 93010-5900

Mailing Address500 Paseo Camarillo, Suite 104Camarillo, CA 93010-5900 · (805) 482-4646 · Fax (805) 987-2533

Phone(805) 482-4646

Fax(805) 987-2533

Organization SubpartNo

Authorized OfficialJacob E. LauManaging Partner · (805) 482-4646

Enumeration DateAugust 30, 2007

Last NPPES UpdateMay 24, 2011

✔ NPI 1063606242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

License✔ Licensed in CA · A75621

Definition

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.

500 PASEO CAMARILLO, Camarillo, CA 93010

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Other Identifiers 1

Medicare PINW1120

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN EDWIN JACOBSON PT

Physical Therapist

500 PASEO CAMARILLO, SUITE 105
CAMARILLO, CA 93010

Ventura County (805) 987-6851

SOONHYANG LEE PT

Physical Therapist (Pediatrics)

500 PASEO CAMARILLO, SUITE 105
CAMARILLO, CA 93010

Ventura County (805) 987-6851

AFROUZ GERAYLI MD INC

Internal Medicine

500 PASEO CAMARILLO, #100
CAMARILLO, CA 93010

Ventura County (805) 484-1033

DYNAMIC PHYSICAL AND HAND THERAPY INC

Clinic/Center (Physical Therapy)

500 PASEO CAMARILLO, #105
CAMARILLO, CA 93010

Ventura County (805) 987-6851

HENG MEDICAL, INC

Dermatology

500 PASEO CAMARILLO, SUITE 100
CAMARILLO, CA 93010

Ventura County (805) 484-1033

AFROUZ S. GERAYLI MD

Internal Medicine

500 PASEO CAMARILLO, SUITE 100
CAMARILLO, CA 93010

Ventura County (805) 484-1033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Medical Group Of Oxnard And Camarillo's NPI number?

The NPI number for Dermatology Medical Group Of Oxnard And Camarillo is 1063606242. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Dermatology Medical Group Of Oxnard And Camarillo located?

Dermatology Medical Group Of Oxnard And Camarillo is located at 500 Paseo Camarillo Suite 104, Camarillo, CA 93010. The listed phone number is (805) 482-4646.

What is Dermatology Medical Group Of Oxnard And Camarillo's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

When was this NPI record last updated?

The NPPES record for Dermatology Medical Group Of Oxnard And Camarillo was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.