NPIMap

Organization Active NPI

Malcolm Ke, M.D., a Professional Corporation

Doing business as Clear Dermatology

  • Dermatology Physician
  • Torrance, CA
National Provider Identifier
1225350069
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MALCOLM KE, M.D., A PROFESSIONAL CORPORATION
Doing business as
Clear Dermatology
Practice address
23456 Hawthorne Blvd Ste 100
Torrance, CA 90505-4752
Phone
(310) 540-5272
Fax
(310) 540-5271
NPI assigned
Feb 21, 2010
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Malcolm Ke, M.D.NPI 1245269984
Title
Ceo
Phone
(424) 206-1406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

23456 Hawthorne Blvd Ste 100
Torrance, CA 90505-4752

Mailing address

23456 Hawthorne Blvd Ste 100
Torrance, CA 90505-4752
Phone (310) 540-5272

Other practice location 1

16960 Bastanchury Rd Ste I
Yorba Linda, CA 92886-1711
Phone (714) 524-9700

Other names 1

  • Clear Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100511000765 CA Part B Supplier - Clinic/Group Practice 6901934009 Receives reassigned benefits from 10 practitioners
Practice locations: Yorba Linda, CA; Manhattan Beach, CA; Torrance, CA

National Provider Directory

National Provider Directory

Locations

22365 Broderick Dr
Ste 115
Sterling, VA 20166
Phone (703) 996-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1225350069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054752",
            "telephone_number": "310-540-5272",
            "fax_number": "310-540-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054752",
            "telephone_number": "310-540-5272",
            "fax_number": "310-540-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16960 Bastanchury Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928861711",
            "country_code": "US",
            "telephone_number": "714-524-9700",
            "fax_number": "714-524-9874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALCOLM KE, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-21",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "KE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-206-1406",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.