Active NPI
Ralph Jan Koek, M.D.
- Psychiatry Physician
- Calabasas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G058707
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.32 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| G058707 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Psychiatry | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.