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

NPI Status: Active since July 18, 2008

Contact Information

32144 AGOURA RD
SUITE 106
WESTLAKE VILLAGE, CA
ZIP 91361
Phone: (805) 379-3376
Fax: (805) 379-3267

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  • Organization
  • Dermatology
  • Dermatopathology
  • CLIA Number: 05D0985281
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-04-2028

About DAPHNE I PANAGOTACOS MD

This page provides the complete NPI Profile along with additional information for Daphne I Panagotacos Md, a provider established in Westlake Village, California operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1295999274 assigned on July 2008. The practitioner's primary taxonomy code is 207ND0900X with license number G66971 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Debbie Ickes (Practice Administrator)

NPI
1295999274
Provider Name
DAPHNE I PANAGOTACOS MD
Entity Type
Organization
Location Address
32144 AGOURA RD SUITE 106 WESTLAKE VILLAGE, CA 91361
Location Phone
(805) 379-3376
Location Fax
(805) 379-3267
Mailing Address
32144 AGOURA RD SUITE 106 WESTLAKE VILLAGE, CA 91361
Mailing Phone
(805) 379-3376
Mailing Fax
(805) 379-3267
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2008
Last Update Date
07-31-2012
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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.
G66971
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

G66971 (CA)
2207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

G66971 (CA)

Group Taxonomy 193400000X MULTIPLE 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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MS. DEBBIE ICKES

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(805) 379-3376

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
F81669MEDICARE UPIN (02)CA 
G66971MEDICARE PIN (08)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0985281
Facility Type
Physician Office
Certificate Effective Date
February 05, 2026
Certificate Expiration Date
February 04, 2028
Laboratory Director
DAPHNE I. PANAGOTACOS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Daphne I Panagotacos Md after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295999274, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 8 + 9 + 1 + 8 + 2 + 1 + 4 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1295999274.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
32144 AGOURA RD, SUITE 218
WESTLAKE VILLAGE, CA 91361
Dentist (General Practice)
32144 AGOURA RD, #216
WESTLAKE VILLAGE, CA 91361
Dermatology
32144 AGOURA RD, STE 202
WESTLAKE VILLAGE, CA 91361
Dermatology
32144 AGOURA RD, STE 202
WESTLAKE VILLAGE, CA 91361
Dentist (General Practice)
32144 AGOURA RD, SUITE 213
WESTLAKE VILLAGE, CA 91361
Obstetrics & Gynecology
32144 AGOURA RD, SUITE 207
WESTLAKE VILLAGE, CA 91361
Pharmacy (Community/Retail Pharmacy)
32144 AGOURA RD, STE 101
WESTLAKE VILLAGE, CA 91361
Nurse Practitioner (Family)
32144 AGOURA RD, SUITE 218
WESTLAKE VILLAGE, CA 91361
Dietitian, Registered
32144 AGOURA RD, SUITE 220
WESTLAKE VILLAGE, CA 91361
Obstetrics & Gynecology
32144 AGOURA RD, SUITE 207
WESTLAKE VILLAGE, CA 91361
Dermatology
32144 AGOURA RD, SUITE 106
WESTLAKE VILLAGE, CA 91361
Family Medicine
32144 AGOURA RD, SUITE 218
WESTLAKE VILLAGE, CA 91361
Dentist (General Practice)
32144 AGOURA RD, SUITE 204
WESTLAKE VILLAGE, CA 91361
Pharmacist
32144 AGOURA RD
WESTLAKE VILLAGE, CA 91361
Dermatology
32144 AGOURA RD, SUITE 112
WESTLAKE VILLAGE, CA 91361
Podiatrist
32144 AGOURA RD, STE 105
WESTLAKE VILLAGE, CA 91361
Non-Pharmacy Dispensing Site
32144 AGOURA RD, SUITE 118
WESTLAKE VILLAGE, CA 91361
Preferred Provider Organization
32144 AGOURA RD, SUITE #101
WESTLAKE VILLAGE, CA 91361
Nurse Practitioner
32144 AGOURA RD, STE 106
WESTLAKE VILLAGE, CA 91361
Pharmacy (Community/Retail Pharmacy)
32144 AGOURA RD, SUITE 101
WESTLAKE VILLAGE, CA 91361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295999274, enumerated as an "organization" on July 18, 2008.

The provider is located at 32144 AGOURA RD SUITE 106 WESTLAKE VILLAGE, CA 91361 and the phone number is (805) 379-3376.

Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.