Individual provider Active NPI

Carl Kaoru Jonokuchi, MD

  • Family Medicine Physician
  • Camarillo, CA
National Provider Identifier
1528027497
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G52095 Issued in CA
Practice address
3901 Las Posas Rd
Suite 10
Camarillo, CA 93010-1501
Phone
(805) 918-4476
Fax
(805) 918-4478
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G52095 CA Primary

Addresses

Primary practice location

3901 Las Posas Rd
Suite 10
Camarillo, CA 93010-1501

Mailing address

3901 Las Posas Rd
Suite 10
Camarillo, CA 93010-1501
Phone (805) 918-4476

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
I20100804001263 CA Practitioner - Family Practice 9032242458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1700 N Rose Ave
Suite 350
Oxnard, CA 93030-7627
Phone (805) 485-7877

3901 Las Posas Rd
Suite 10
Camarillo, CA 93010-1502
Phone (805) 918-4476

550 Saint Charles Dr
Suite 200
Thousand Oaks, CA 91360-3973
Phone (805) 497-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G52095CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
OB 24 Medical Group, Inc. Past Accepting new patients

Locations

751 E Daily Dr
Ste 120
Camarillo, CA 93010
Phone (805) 256-7810

3901 Las Posas Rd
Ste 10
Camarillo, CA 93010
Phone (805) 918-4476

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

243 March St
Santa Paula, CA 93060
Phone (805) 525-6112

550 Saint Charles Dr
Ste 200
Thousand Oaks, CA 91360
Phone (805) 497-4545

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1528027497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE 10",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101501",
            "telephone_number": "805-918-4476",
            "fax_number": "805-918-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE 10",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101501",
            "telephone_number": "805-918-4476",
            "fax_number": "805-918-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONOKUCHI",
        "first_name": "CARL",
        "middle_name": "KAORU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G52095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.