Daphne I Panagotacos, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G66971 Issued in CA

Practice address

32144 Agoura Rd
Suite 106
Westlake Village, CA 91361-4031

Phone

(805) 379-3376

Fax

(805) 379-3267

NPI assigned

Sep 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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 Southern California Keck School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.17 of 100Reported as individual

Quality

88.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Daphne I Panagotacos MD

  • Dermatopathology Physician
  • Westlake Village, CA
  • NPI 1295999274

  Mohs-Micrographic Surgery

  Medicare reassignment NPD
• Daphne I Panagotacos MD

  • Specialist
  • Westlake Village, CA
  • NPI 1740378280
  NPD Authorized official

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

{
    "created_epoch": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1811091069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "SUITE 106",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "805-379-3376",
            "fax_number": "805-379-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "SUITE 106",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "805-379-3376",
            "fax_number": "805-379-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGOTACOS",
        "first_name": "DAPHNE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-09",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G66971",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G66971",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "G66971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Palm, LMFT
• Sean Patrick Palmer, AMFT
• Ashley Palmieri
• Palo Alto Medical Imaging Services
• Gina Palvatana, BA
• Clifford Pang, DO
• Michael Pantiel, MSW,LCSW
• Park Compounding Pharmacy
• Dealie Elizabeth Park, PA
• Justine Hyoju Park, MD

• Dermatology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.