NPIMap

Individual provider Active NPI

Caitlin D Tourje, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Camarillo, CA
National Provider Identifier
1033571872
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A172179 Issued in CA
Practice address
1100 Paseo Camarillo
Camarillo, CA 93010-6073
Phone
(805) 484-8558
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X A172179 CA Primary

Addresses

Primary practice location

1100 Paseo Camarillo
Camarillo, CA 93010-6073

Mailing address

1100 Paseo Camarillo
Camarillo, CA 93010-6073
Phone (805) 484-8558

Other practice location 1

1 Medical Center Drive
Winston-Salem, NC 27127-2712
Phone (336) 716-7246

Other names 1

  • Dr. Caitlin Diane Kiker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730002249 CA Practitioner - AnesthesiologyPractitioner - Pain Management 4789977091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1100 Paseo Camarillo
Camarillo, CA 93010-6073
Phone (805) 484-8558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
48.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A172179CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oxnard Camarillo Anesthesiology Medical Group CurrentSince Oct 1, 2021 Accepting new patients

Locations

1100 Paseo Camarillo
Camarillo, CA 93010
Phone (805) 484-8558

1700 N Rose Ave
Ste 100
Oxnard, CA 93030
Phone (805) 204-5000

3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1033571872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PASEO CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106073",
            "telephone_number": "805-484-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PASEO CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106073",
            "telephone_number": "805-484-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Drive",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271272712",
            "country_code": "US",
            "telephone_number": "336-716-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOURJE",
        "first_name": "CAITLIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-06-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A172179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "KIKER",
            "middle_name": "DIANE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.