Active NPI
Karol D Dangaran, M.D.
- Dermatology Physician
- Orange, CA
National Provider Identifier
1225062052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G73555
- Practice address
- 1506 E Chapman Ave
Orange, CA 92866-2231 - Phone
- (714) 538-8556
- Fax
- (714) 538-1082
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G73555 | CA | Primary |
Addresses
Primary practice location
1506 E Chapman Ave
Orange, CA 92866-2231
Mailing address
1506 E Chapman Ave
Orange, CA 92866-2231
Phone (714) 538-8556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G73555 | Other | CA | MEDICAL LICENSE |
| 00G735551 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of California, San Francisco School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17601 17TH St
Suite 110
Tustin, CA 92780-1949
Phone (714) 790-0005
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.12 of 100
- Quality
- 94.24
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 22 |
| Removal of skin lesions | 1776 |
| Skin biopsy | 347 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73555 | CA | MD | Dermatology Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karol D Dangaran M D Inc | Dermatology | Current | Accepting new patients |
| St Joseph Hospital of Orange | Past | Accepting new patients |
Locations
1506 E Chapman Ave
Orange, CA 92866
Phone (714) 538-8556
17601 17th St
Ste 110
Tustin, CA 92780
Phone (714) 538-8556
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kdangaran@enhancedderm.emadirect.md
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.
-
- Dermatology Physician
- Tustin, CA
- NPI 1699981704
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1225062052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662231",
"telephone_number": "714-538-8556",
"fax_number": "714-538-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662231",
"telephone_number": "714-538-8556",
"fax_number": "714-538-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANGARAN",
"first_name": "KAROL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G73555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G73555",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G735551",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.