Individual provider Active NPI

Peter Louis Karlsberg, M.D.

  • Specialist
  • Ventura, CA
National Provider Identifier
1063560605
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G80832 Issued in CA
Practice address
145 N Brent St
Suite 104
Ventura, CA 93003-2816
Phone
(805) 641-1600
NPI assigned
Jan 8, 2007
Last updated
Jul 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G80832 CA Primary

Addresses

Primary practice location

145 N Brent St
Suite 104
Ventura, CA 93003-2816

Mailing address

1190 S Victoria Ave
Ste 300
Ventura, CA 93003-6545
Phone (805) 641-1600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050426001321 CA Practitioner - Dermatology 6507803012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter L. Karlsberg, M.D. a Medical CorporationGroup PAC ID 2062459571, 2 clinicians

Practice addresses (Care Compare)

1190 S Victoria Ave
Suite 300
Ventura, CA 93003-6545
Phone (805) 677-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions1523
Removal of skin cancer162
Skin biopsy385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80832CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter L. Karlsberg, M.D. a Medical Corporation Specialist CurrentSince Aug 1, 1967 Accepting new patients
Peter L Karlsberg Mda Medical Corporation Current Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

1190 S Victoria Ave
Ste 300
Ventura, CA 93003
Phone (805) 677-1600

145 N Brent St
Ste 104
Ventura, CA 93003
Phone (805) 641-1600

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1063560605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S VICTORIA AVE",
            "address_2": "STE 300",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036545",
            "telephone_number": "805-641-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N BRENT ST",
            "address_2": "SUITE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032816",
            "telephone_number": "805-641-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLSBERG",
        "first_name": "PETER",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G80832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.