Richard P Klimkowski, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G47143 Issued in CA

Practice address

224 Del Mar #B
San Clemente, CA 92672

Phone

(949) 492-4671

Fax

(949) 492-4330

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tony N. Nakhla, D.O., Inc.

  • Dermatology Physician
  • Santa Ana, CA
  • NPI 1730411794
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336279728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 DEL MAR #B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "949-492-4671",
            "fax_number": "949-492-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 DEL MAR #B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92672",
            "telephone_number": "949-492-4671",
            "fax_number": "949-492-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMKOWSKI",
        "first_name": "RICHARD",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G47143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL CA",
            "identifier": "EDG471430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kineticx Physical Therapy & Performance P C
• Kourtney Marie Kingsmore
• Kaitlin Kinnamont
• Tanya Nilcia Kinton, M.S., OT
• Ashley Kirkland, IBCLC
• Ligi Luke Klink, MSAC
• Lisa C Klipfel, M.A.
• Thomas Wolfgang Mehlmauer Klotz, M.D.
• KLP Medical
• Kool Living Inc.

• Dermatology Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.