Individual provider Active NPI

Ralph Jan Koek, M.D.

  • Psychiatry Physician
  • Calabasas, CA
National Provider Identifier
1356428924
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G058707 Issued in CA
Practice address
26585 West Agoura Blvd.
Ste 330
Calabasas, CA 91301
Phone
(818) 876-1050
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G058707 CA Primary

Addresses

Primary practice location

26585 West Agoura Blvd.
Ste 330
Calabasas, CA 91301

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8771

Other practice location 1

16111 Plummer St
(116A-11)
North Hills, CA 91343-2036
Phone (800) 516-4567 ext. 7547

Other practice location 2

760 Westwood Plz Ste 58-249C
Los Angeles, CA 90024-5055
Phone (310) 206-2210

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816001931 CA Practitioner - Psychiatry 7810370392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.01
Promoting interoperability
100
Improvement activities
40
Cost
56.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G058707CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Psychiatry CurrentSince Oct 1, 2022 Accepting new patients

Locations

26585 Agoura Rd
Ste 330
Calabasas, CA 91302
Phone (818) 461-3321

300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

760 Westwood Plz
Ste 58249C
Los Angeles, CA 90024
Phone (310) 206-2210

Interoperability endpoints

  • Direct secure messaging: rkoek16116@direct.uclahealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1356428924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26585 WEST AGOURA BLVD.",
            "address_2": "STE 330",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-876-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16111 Plummer St",
            "address_2": "(116A-11)",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "913432036",
            "country_code": "US",
            "telephone_number": "800-516-4567 x7547",
            "fax_number": "818-895-9588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Westwood Plz Ste 58-249C",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245055",
            "country_code": "US",
            "telephone_number": "310-206-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEK",
        "first_name": "RALPH",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G058707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.