Kathleen Casamiquela

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A-140795 Issued in CA

Practice address

28261 Marguerite Pkwy Ste 200
Mission Viejo, CA 92692-3702

Phone

(949) 542-8500

NPI assigned

Jun 8, 2012

Sex

Female

Sole proprietor

Yes

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

University of Texas Medical School at Houston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Coastal Dermatology a Medical CorporationGroup PAC ID 6002138591, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.26 of 100Reported as group

Quality

95.66

Improvement activities

40

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• California Coastal Dermatology a Medical Corporation

  • Medical Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1083032262
  Medicare reassignment Care Compare group NPD
• Leur Medicine Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1316340268
  Medicare reassignment NPD
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1689936353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28261 MARGUERITE PKWY STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923702",
            "telephone_number": "949-542-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28261 MARGUERITE PKWY STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923702",
            "telephone_number": "949-542-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAMIQUELA",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A-140795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Carranza, NP
• Justine Carrillo, LCSW
• Monserrat Carrillo
• Christopher Carter, DMD, MS
• Giuseppe Carvelli, DMD, MS
• Laura Case
• Kasey Marie Casner
• Caspian Home Health Services Inc
• Daisy Castaneda
• Luisito Casten Jr.

• Dermatology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.