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DANIEL GENE KOLDER, M.D. A CALIFORNIA PROFESSIONAL CORPORATION
NPI 1598006652
Plastic Surgery in Camarillo, CA

Active since March 13, 2013
2460 N PONDEROSA DR, SUITE A-117, CAMARILLO, CA 93010(805) 484-2855(805) 389-1245 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Daniel Gene Kolder, M.d. A California Professional Corporation NPPES

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

DANIEL GENE KOLDER, M.D. A CALIFORNIA PROFESSIONAL CORPORATION (NPI 1598006652) is a healthcare organization registered as a plastic surgery in Camarillo, California and active in the NPI registry since March 2013. The organization lists Daniel Gene Kolder, Owner, as its authorized official.

NPPES Registry Identity

NPI1598006652
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDANIEL GENE KOLDER, M.D. A CALIFORNIA PROFESSIONAL CORPORATION
Location Address2460 N PONDEROSA DR, SUITE A-117Camarillo, CA 93010-2398
Mailing Address2460 N Ponderosa Dr, Suite A-117Camarillo, CA 93010-2398 · (805) 484-2855 · Fax (805) 389-1245
Phone(805) 484-2855
Fax(805) 389-1245
Organization SubpartNo
Authorized OfficialDaniel Gene KolderOwner · (805) 484-2855
Enumeration DateMarch 13, 2013
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1598006652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2460 N PONDEROSA DR, Camarillo, CA 93010
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Gene Kolder, M.d. A California Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Daniel Gene Kolder, M.D. A California Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Daniel Kolder, MD
Plastic and Reconstructive Surgery
NPI 1942393053
2460 N PONDEROSA DR STE A117
Camarillo, CA 93010
(805) 484-2855
✔ PECOS✔ Accepts MedicareSame address
Larissa Larsen, M.D.
Dermatology
NPI 1063733426
6633 TELEPHONE RD STE 100
Ventura, CA 93003
(310) 644-9121
✔ PECOS✔ Accepts Medicare11 mi
Lisa Xu, M.D.
Dermatology
NPI 1013118256
5010 CAMPUS DR STE 120
Newport Beach, CA 92660
(949) 773-4784
✔ PECOS✔ Accepts Medicare78 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Daniel Gene Kolder, M.D. A California Professional Corporation's NPI number?

The NPI number for Daniel Gene Kolder, M.D. A California Professional Corporation is 1598006652. It was assigned to this organization in the NPPES registry on March 13, 2013.

Where is Daniel Gene Kolder, M.D. A California Professional Corporation located?

Daniel Gene Kolder, M.D. A California Professional Corporation is located at 2460 N Ponderosa Dr Suite A-117, Camarillo, CA 93010. The listed phone number is (805) 484-2855.

What is Daniel Gene Kolder, M.D. A California Professional Corporation's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Daniel Gene Kolder, M.D. A California Professional Corporation enrolled in Medicare?

Yes. Daniel Gene Kolder, M.D. A California Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Daniel Gene Kolder, M.D. A California Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Daniel Gene Kolder, M.D. A California Professional Corporation, in Dermatology and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Gene Kolder, M.D. A California Professional Corporation was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.