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DAPHNE I PANAGOTACOS MD
NPI 1295999274
Dermatology - Dermatopathology in Westlake Village, CA

Active since July 18, 2008CLIA 05D0985281 · Certificate of Compliance
32144 AGOURA RD, SUITE 106, WESTLAKE VILLAGE, CA 91361(805) 379-3376(805) 379-3267 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daphne I Panagotacos Md NPPES

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

DAPHNE I PANAGOTACOS MD (NPI 1295999274) is a healthcare organization registered as a dermatopathology in Westlake Village, California and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through February 4, 2028 and lists Debbie Ickes, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1295999274
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameDAPHNE I PANAGOTACOS MD
Location Address32144 AGOURA RD, SUITE 106Westlake Village, CA 91361-4031
Mailing Address32144 Agoura Rd, Suite 106Westlake Village, CA 91361-4031 · (805) 379-3376 · Fax (805) 379-3267
Phone(805) 379-3376
Fax(805) 379-3267
Organization SubpartNo
Authorized OfficialDebbie IckesPractice Administrator · (805) 379-3376
Enumeration DateJuly 18, 2008
Last NPPES UpdateJuly 31, 2012
✔ NPI 1295999274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in CA · G66971
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License G66971 (CA)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License G66971 (CA)
32144 AGOURA RD, Westlake Village, CA 91361
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Other Identifiers 2

Medicare UPINF81669CA
Medicare PING66971CA

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0985281

Daphne Panagotacos MD · Westlake Village, CA
Active · expires Feb 4, 2028
CLIA Number05D0985281
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorDaphne I. Panagotacos
Laboratory Phone(805) 379-3376
Laboratory LocationDaphne Panagotacos MD32144 Agoura Rd Ste 106, Westlake Village, CA 91361
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

DR. CHARLES ABRAHAM KELMAN D.P.M
Podiatrist
32144 AGOURA RD, STE 105
WESTLAKE VILLAGE, CA 91361
Los Angeles County (818) 706-1924
DR. ASHER KASHANCHI PHARM D
Pharmacist
32144 AGOURA RD
WESTLAKE VILLAGE, CA 91361
Los Angeles County (818) 707-2500
DR. TROY CHRISTOPHER WILLIAMS M.D.
Obstetrics & Gynecology
32144 AGOURA RD, SUITE 207
WESTLAKE VILLAGE, CA 91361
Los Angeles County (818) 597-9300
HECTOR ALBERTO CABALLERO MD
Internal Medicine (Gastroenterology)
32144 AGOURA RD, SUITE 118
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0823
RAZMIG KRUMIAN D.O. A MEDICAL CORPORATION
Family Medicine
32144 AGOURA RD, SUITE 218
WESTLAKE VILLAGE, CA 91361
Los Angeles County (818) 889-9230
GERALD CHARLES BERKMAN MD
Pediatrics (Pediatric Nephrology)
32144 AGOURA RD, SUITE 211
WESTLAKE VILLAGE, CA 91361
Los Angeles County (818) 889-8387
DR. BENJAMIN PINGTZEE SUN D.D.S.
Dentist (General Practice)
32144 AGOURA RD, SUITE 204
WESTLAKE VILLAGE, CA 91361
Los Angeles County (818) 597-9777
DARIA M. SCHNEIDMAN-FERNANDEZ N.P.
Nurse Practitioner (Family)
32144 AGOURA RD, SUITE 218
WESTLAKE VILLAGE, CA 91361
Los Angeles County (818) 889-9230

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 Daphne I Panagotacos MD's NPI number?

The NPI number for Daphne I Panagotacos MD is 1295999274. It was assigned to this organization in the NPPES registry on July 18, 2008.

Where is Daphne I Panagotacos MD located?

Daphne I Panagotacos MD is located at 32144 Agoura Rd Suite 106, Westlake Village, CA 91361. The listed phone number is (805) 379-3376.

What is Daphne I Panagotacos MD's specialty?

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

Does Daphne I Panagotacos MD hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0985281) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Daphne I Panagotacos MD was last updated on July 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.