Individual provider Active NPI

Narat John Eungdamrong, M.D., PH.D.

  • Dermatology Physician
  • Del Mar, CA
National Provider Identifier
1245548700
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A147593 Issued in CA
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

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141204001187 NY Practitioner - Dermatology 6800118738 Reassigns benefits to 1 organization
I20180502002723 CA Practitioner - Dermatology 6800118738 Reassigns benefits to 3 organizations

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
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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 Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions449
Removal or shaving of skin growth1-10
Skin biopsy171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270019NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Dermatology CurrentSince Apr 2, 2018 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 2, 2018 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 15, 2023 Accepting new patients
Metro Dermatology of NJ,PA PastSince Jan 1, 2026 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.