Kunal Angra

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A161745 Issued in CA

Practice address

3629 Vista Way
Oceanside, CA 92056-4522

Phone

(760) 757-7546

NPI assigned

Apr 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, DC2 enrollments

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 2

Specialty

Dermatology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sapphire Dermatology LLCGroup PAC ID 0244608552, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sapphire Dermatology LLC

  • Dermatology Physician
  • Silver Spring, MD
  • NPI 1245959402

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Emerald Dermatology

  • Dermatology Physician
  • Carlsbad, CA
  • NPI 1326852435
  Medicare reassignment NPD Authorized official
• Dermatology Specialists Inc

  • Dermatology Physician
  • Oceanside, CA
  • NPI 1881631711
  Medicare reassignment NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment NPD

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1871988147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 LOMBARD PL APT 1514",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221658",
            "telephone_number": "301-814-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-757-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGRA",
        "first_name": "KUNAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "A526481014547",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A161745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Hoang DDS Inc (Oceanside Dental and Orthodontics)
• Angel'S Homecare LLC
• Jenifer Angeles, CNM
• Keith Angelin
• Luzdelyn Angon Santiago
• Anitha Rajamanickam MD Apmc
• Anjaneya RX (Oceanside Pharmacy)
• Anna E Lee, M.D., Medical Corporation
• Annette Monique Nutrition LLC
• Dawn Anoche

• Dermatology Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.