Dale Gregory Kiker, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A43889 Issued in CA

Practice address

1100 Paseo Camarillo
Camarillo, CA 93010

Phone

(805) 484-8558

Fax

(805) 484-3099

NPI assigned

Jan 5, 2006

Last updated

Apr 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Pain Management

Education

Louisiana State University School of Medicine in Shreveport, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spanish Hills Interventional Pain Specialists Inc a Medical CorpGroup PAC ID 9830345651, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.95 of 100Reported as group

Quality

100

Improvement activities

40

Cost

48.44

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Spanish Hills Interventional Pain Specialists Inc a Medical Corp

  • Interventional Pain Medicine Physician
  • Camarillo, CA
  • NPI 1205195732
  Medicare reassignment Care Compare group NPD
• Pain Management Specialists Medical Group

  • Specialist
  • San Luis Obispo, CA
  • NPI 1265435416
  Medicare reassignment NPD
• Central Pacific Pain Management

  dba Cppms

  • Specialist
  • Camarillo, CA
  • NPI 1376745497
  Authorized official Same address or phone
• Pain Management Specialists Medical Group

  • Specialist
  • Santa Maria, CA
  • NPI 1679857510
  NPD
• Spanish Hills Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Camarillo, CA
  • NPI 1528003332
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1063490464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5457",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93403",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PASEO CAMARILLO",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKER",
        "first_name": "DALE",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A43889",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A43889",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AP768",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Khoury, PHARMD
• Farid Kia, M.D
• Kidney Dialysis Center of Camarillo,LLC
• Kids Physical Therapy Zone Inc
• Paige Riley Kieding
• Madeline Frances Kildee
• Alexander Hyun Kim, PHARMD
• Alice Jen Kim, DPM
• Catherine Angela Kim, M.D.
• Dong Hyun Kim

• Anesthesiology Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.