NPIMap

Organization Active NPI

Richard P Klimkowski MD PC

  • Dermatopathology Physician
  • San Clemente, CA
National Provider Identifier
1407034481
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
G47143 Issued in CA
Legal business name
RICHARD P KLIMKOWSKI MD PC
Practice address
224 Del Mar
#B
San Clemente, CA 92672-4011
Phone
(949) 492-4671
Fax
(949) 492-4330
NPI assigned
Feb 1, 2008
Organization subpart
Yes
Parent organization
RICHARD P KLIMKOWSKI MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Richard P Klimkowski, MDNPI 1336279728
Title
President
Phone
(949) 492-4671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0900X G47143 CA Primary

Addresses

Primary practice location

224 Del Mar
#B
San Clemente, CA 92672-4011

Mailing address

224 Del Mar
#B
San Clemente, CA 92672-4011
Phone (949) 492-4671

Other names 1

  • Richard P Klimkowski MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

224 Avenida del Mar
Ste B
San Clemente, CA 92672
Phone (949) 492-4671

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1407034481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 DEL MAR",
            "address_2": "#B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724011",
            "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",
            "address_2": "#B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724011",
            "telephone_number": "949-492-4671",
            "fax_number": "949-492-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P KLIMKOWSKI MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD P KLIMKOWSKI MD PC",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "KLIMKOWSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-492-4671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G47143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard P Klimkowski MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.