Active NPI
Narat John Eungdamrong, M.D., PH.D.
- Dermatology Physician
- Del Mar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A147593
- Practice address
- 2600 Via de la Valle Ste 200
Del Mar, CA 92014-1992 - Phone
- (858) 309-3160
- NPI assigned
- Sep 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 270019 | NY | |
| Dermatology Physician | 207N00000X | A147593 | CA | Primary |
Addresses
Primary practice location
2600 Via de la Valle Ste 200
Del Mar, CA 92014-1992
Mailing address
2600 Via de la Valle Ste 200
Del Mar, CA 92014-1992
Phone (858) 309-3160
Other practice location 1
6901 W Edgerton Ave
Greenfield, WI 53220-4420
Phone (414) 421-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- JS Weill Medical College, Cornell University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
99 N la Cienega Blvd
Suite 202
Beverly Hills, CA 90211-2285
Phone (310) 385-3300
Hospital & facility affiliations
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 20 |
| Removal of skin lesions | 449 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270019 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Dermatology | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Metro Dermatology of NJ,PA | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
99 N La Cienega Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 385-3300
2600 Via de la Valle
Ste 200
Del Mar, CA 92014
Phone (858) 309-3160
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
11620 Wilshire Blvd
Ste 102
Los Angeles, CA 90025
Phone (310) 423-4800
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- neungdamrong443214@direct.cshs.org
Organizations & group practices 7
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Dermatology
-
- Dermatology Physician
- Poway, CA
- NPI 1831182971
-
- Physician Assistant
- Flushing, NY
- NPI 1336343268
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Procedural Dermatology Physician
- Fort Lee, NJ
- NPI 1437353372
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1245548700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 VIA DE LA VALLE STE 200",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920141992",
"telephone_number": "858-309-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 VIA DE LA VALLE STE 200",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920141992",
"telephone_number": "858-309-3160"
}
],
"practiceLocations": [
{
"address_1": "6901 W Edgerton Ave",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "WI",
"postal_code": "532204420",
"country_code": "US",
"telephone_number": "414-421-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUNGDAMRONG",
"first_name": "NARAT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "270019",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A147593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.