Individual provider Active NPI

Andrew J Kaufman, MD

  • Dermatology Physician
  • Thousand Oaks, CA
National Provider Identifier
1740214378
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G59570 Issued in CA
Practice address
267 W Hillcrest Dr
Thousand Oaks, CA 91360-4211
Phone
(805) 497-1694
Fax
(805) 373-7493
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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 G59570 CA Primary

Addresses

Primary practice location

267 W Hillcrest Dr
Thousand Oaks, CA 91360-4211

Mailing address

267 W Hillcrest Dr
Thousand Oaks, CA 91360-4211
Phone (805) 497-1694

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
I20101103000758 CA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7214902147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

267 W Hillcrest Dr
Thousand Oaks, CA 91360-4211
Phone (805) 497-1694

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision100
Removal of tissue1-10
Removal of skin cancer503
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Oct 1, 1996 Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology CurrentSince Oct 1, 1996 Accepting new patients
Forefront Dermatology - Pacific, P.C. Dermatology Past Accepting new patients
Sansum Clinic Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

5565 Carpinteria Ave
Ste 3
Carpinteria, CA 93013
Phone (805) 684-3831

267 W Hillcrest Dr
Thousand Oaks, CA 91360
Phone (805) 497-1694

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1740214378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 W HILLCREST DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604211",
            "telephone_number": "805-497-1694",
            "fax_number": "805-373-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W HILLCREST DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604211",
            "telephone_number": "805-497-1694",
            "fax_number": "805-373-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G59570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.