CAMARILLO SURGICAL CENTER ASSOCIATES INC
NPI 1801230719
Clinic/Center - Ambulatory Surgical in Camarillo, CA

Active since April 22, 2013
2460 N PONDEROSA DR, SUITE A-116, CAMARILLO, CA 93010(805) 484-4226 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Camarillo Surgical Center Associates Inc NPPES

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

CAMARILLO SURGICAL CENTER ASSOCIATES INC (NPI 1801230719) is a healthcare organization registered as an ambulatory surgical in Camarillo, California and active in the NPI registry since April 2013. The organization lists Daniel G Kolder, President, as its authorized official.

NPPES Registry Identity

NPI1801230719
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCAMARILLO SURGICAL CENTER ASSOCIATES INC
Location Address2460 N PONDEROSA DR, SUITE A-116Camarillo, CA 93010-2398
Mailing Address2460 N Ponderosa Dr, Suite A-116Camarillo, CA 93010-2398 · (805) 484-4226
Organization SubpartNo
Authorized OfficialDaniel G KolderPresident · (805) 484-4226
Enumeration DateApril 22, 2013
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1801230719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · A115790
2460 N PONDEROSA DR, Camarillo, CA 93010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camarillo Surgical Center Associates Inc 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 Camarillo Surgical Center Associates Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Plastic and Reconstructive Surgery
NPI 1942393053
2460 N PONDEROSA DR STE A117
Camarillo, CA 93010
(805) 484-2855
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1821524901
1818 VERDUGO BLVD STE 304
Glendale, CA 91208
(818) 790-3588
✔ PECOS✔ Accepts Medicare46 mi
Dermatology
NPI 1760707434
326 SANTA FE DR
Encinitas, CA 92024
(760) 753-5594
✔ PECOS130 mi

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
50 services40 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
44 services40 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
28 services24 patients
Complicated repair of wound of trunk, 2.6-7.5 cm 13101
This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.
20 services19 patients
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603
This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.
17 services15 patients

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 Camarillo Surgical Center Associates Inc's NPI number?

The NPI number for Camarillo Surgical Center Associates Inc is 1801230719. It was assigned to this organization in the NPPES registry on April 22, 2013.

Where is Camarillo Surgical Center Associates Inc located?

Camarillo Surgical Center Associates Inc is located at 2460 N Ponderosa Dr Suite A-116, Camarillo, CA 93010. The listed phone number is (805) 484-4226.

What is Camarillo Surgical Center Associates Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Camarillo Surgical Center Associates Inc enrolled in Medicare?

Yes. Camarillo Surgical Center Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Camarillo Surgical Center Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Camarillo Surgical Center Associates Inc, 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 Camarillo Surgical Center Associates Inc 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.