Individual provider Active NPI

Rebecca Nguyen, MD

  • Dermatology Physician
  • Camarillo, CA
National Provider Identifier
1164982922
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A191345 Issued in CA
Practice address
3615 Las Posas Rd Ste F100
Camarillo, CA 93010-1428
Phone
(805) 484-2813
Fax
(805) 484-2316
NPI assigned
Mar 20, 2019
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A191345 CA Primary

Addresses

Primary practice location

3615 Las Posas Rd Ste F100
Camarillo, CA 93010-1428

Mailing address

3615 Las Posas Rd Ste F100
Camarillo, CA 93010-1428
Phone (805) 484-2813

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
I20231023000981 CA Practitioner - Dermatology 3779906847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

3615 Las Posas Rd
Suite 100
Camarillo, CA 93010-1428
Phone (805) 484-2813

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1967
Skin biopsy585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A191345CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ross S. Kaplan, M D a Professional Corporation CurrentSince Oct 15, 2023 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Oct 23, 2023 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

3615 Las Posas Rd
Ste 100
Camarillo, CA 93010
Phone (805) 484-2026

3615 Las Posas Rd
Ste F100
Camarillo, CA 93010
Phone (805) 484-2813

55 Rolling Oaks Dr
Ste 200
Thousand Oaks, CA 91361
Phone (805) 497-7529

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1164982922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 LAS POSAS RD STE F100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101428",
            "telephone_number": "805-484-2813",
            "fax_number": "805-484-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 LAS POSAS RD STE F100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101428",
            "telephone_number": "805-484-2813",
            "fax_number": "805-484-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A191345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.