Active NPI
Lawrence Fitzgerald Kuklinski, MD
- Dermatology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A159152
- Practice address
- 2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131 - Phone
- (310) 917-3376
- Fax
- (310) 582-6302
- NPI assigned
- Apr 26, 2017
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A159152 | CA | Primary |
Addresses
Primary practice location
2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131
Mailing address
5767 W Century Blvd Suite 400
Los Angeles, CA 90095-5631
Phone (310) 301-8707
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 Compare- Specialty
- Dermatology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Suite 216
Los Angeles, CA 90095-0001
Phone (310) 206-8662
200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 825-6911
2001 Santa Monica Blvd
Suite 1070
Santa Monica, CA 90404-2202
Phone (310) 315-7900
2020 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2131
Phone (310) 582-6360
Hospital & facility affiliations
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 89.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1061 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 306 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159152 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Dermatology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| Santa Barbara Cottage Hospital | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Dermatology | Past | Accepting new patients |
| Goleta Valley Cottage Hospital | Past | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510
200 UCLA Medical Plz
Ste 450
Los Angeles, CA 90095
Phone (310) 825-6911
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
2001 Santa Monica Blvd
Ste 1070
Santa Monica, CA 90404
Phone (310) 315-7900
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
2020 Santa Monica Blvd
Ste 510
Santa Monica, CA 90404
Phone (310) 633-8400
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Organizations & group practices 8
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.
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1568431310
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Skilled Nursing Facility
- Goleta, CA
- NPI 1679587224
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1497280507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900955631",
"telephone_number": "310-301-8707",
"fax_number": "310-301-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SANTA MONICA BLVD STE 510",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042131",
"telephone_number": "310-917-3376",
"fax_number": "310-582-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKLINSKI",
"first_name": "LAWRENCE",
"middle_name": "FITZGERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A159152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.