Raymond Edward Kleinfelder III, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036151703 Issued in IL

Practice address

3080 Bristol St Ste 650
Costa Mesa, CA 92626-7311

Phone

(949) 317-2558

Fax

(213) 408-4414

NPI assigned

May 31, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Midwestern University, Chicago College of Osteopathic Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: rkleinfelder@artiusderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James Y. Wang, MD, Inc.

  dba Metropolis Dermatology

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1538640669
  Medicare reassignment Care Compare group NPD
• Artius Dermatology Associates, P.C.

  dba Lux Dermatology

  • Dermatology Physician
  • Hanford, CA
  • NPI 1245782291
  Medicare reassignment NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984
  NPD (past)

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1659751121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256811",
            "telephone_number": "424-243-7668",
            "fax_number": "213-408-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST STE 650",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267311",
            "telephone_number": "949-317-2558",
            "fax_number": "213-408-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11645 Wilshire Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900256811",
            "country_code": "US",
            "telephone_number": "424-243-7668",
            "fax_number": "213-408-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINFELDER",
        "first_name": "RAYMOND",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-31",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036151703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kirlin, D.P.T
• Cathy Kitinoja
• KKB Health Solutions (Clear Life Recovery)
• Mary Carol Klein, LCSW
• Hanna Rachel Kleiner, MA NCC LPC-MHSP
• Jeffrey Kleis, DPM
• Debra Joy Klipper, MSNNP
• Charissa M. Knihtila, BCBA
• Chris Knox, CADC I
• Salisha Mary Knox

• Dermatology Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.

Verify at the official NPI Registry.