Individual provider Active NPI

Gerald Nathan Karpman, M.D.

  • Dermatology Physician
  • Camarillo, CA
National Provider Identifier
1619905437
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G29766 Issued in CA
Practice address
2438 N Ponderosa Dr
C-105
Camarillo, CA 93010-2369
Phone
(805) 388-2068
Fax
(805) 484-7700
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G29766 CA Primary

Addresses

Primary practice location

2438 N Ponderosa Dr
C-105
Camarillo, CA 93010-2369

Mailing address

2438 N Ponderosa Dr
C-105
Camarillo, CA 93010-2369
Phone (805) 388-2068

Other identifiers 1

IdentifierTypeStateIssuer
00G297660MedicaidCA

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
I20090724000615 CA Practitioner - Dermatology 3971656810 Reassigns benefits to 1 organization
Practice locations: Camarillo, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G29766CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatology CurrentSince Oct 1, 2018 Accepting new patients
Affiliated Dermatologists, Inc. Dermatology CurrentSince Dec 31, 1991 Accepting new patients
Dignity Health Past Accepting new patients

Locations

2438 N Ponderosa Dr
Ste C105
Camarillo, CA 93010
Phone (805) 308-2068

3901 Las Posas Rd
Ste 108
Camarillo, CA 93010
Phone (804) 484-3331

1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

Organizations & group practices 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1619905437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 N PONDEROSA DR",
            "address_2": "C-105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102369",
            "telephone_number": "805-388-2068",
            "fax_number": "805-484-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 N PONDEROSA DR",
            "address_2": "C-105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102369",
            "telephone_number": "805-388-2068",
            "fax_number": "805-484-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARPMAN",
        "first_name": "GERALD",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G29766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G297660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.