NPIMap

Individual provider Active NPI

Melissa Camouse, D.O.

  • Dermatology Physician
  • Torrance, CA
National Provider Identifier
1689885279
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A 9923 Issued in CA
Practice address
23456 Hawthorne Blvd Ste 100
Torrance, CA 90505
Phone
(310) 540-5272
Fax
(310) 540-5271
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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 20A 9923 CA Primary

Addresses

Primary practice location

23456 Hawthorne Blvd Ste 100
Torrance, CA 90505

Mailing address

PO Box 3704
Manhattan Beach, CA 90266-7243
Phone (424) 206-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000707 CA Practitioner - Dermatology 3476630559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Malcolm Ke MD a Professional CorporationGroup PAC ID 6901934009, 6 clinicians

Practice addresses (Care Compare)

23456 Hawthorne Blvd
Suite 100
Torrance, CA 90505-4752
Phone (310) 540-5272

713 N Douglas St
El Segundo, CA 90245-2830
Phone (310) 906-2788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.9

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of tissue1-10
Removal of skin lesions2474
Removal of skin cancer89
Removal or shaving of skin growth1-10
Skin biopsy740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 9923CAMDDermatology Physician
9923CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Malcolm Ke, M.D., a Professional Corporation Dermatology CurrentSince May 1, 2010 Accepting new patients
Dr. a.R. Bhupathy, Inc Dermatology Current Accepting new patients
El Segundo Dermatology, Inc. CurrentSince Dec 27, 2015 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Jamie L Macdougall MD Dermatology Past Accepting new patients
Dignity Health Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

713 N Douglas St
El Segundo, CA 90245
Phone (310) 906-2788

828 Manhattan Beach Blvd
Manhattan Beach, CA 90266
Phone (310) 376-8381

23456 Hawthorne Blvd
Ste 100
Torrance, CA 90505
Phone (310) 540-5272

16960 Bastanchury Rd
Ste I
Yorba Linda, CA 92886
Phone (714) 524-9700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1689885279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3704",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667243",
            "telephone_number": "424-206-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-540-5272",
            "fax_number": "310-540-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMOUSE",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A 9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.