Individual provider Active NPI

Ralph M Kamell, MD

  • Dermatology Physician
  • Thousand Oaks, CA
National Provider Identifier
1881609741
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G24865 Issued in CA
Practice address
55 Rolling Oaks Dr Ste 200
Thousand Oaks, CA 91361-1010
Phone
(805) 497-7529
Fax
(805) 494-3486
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G00024865 CA
Dermatology Physician 207N00000X G24865 CA Primary

Addresses

Primary practice location

55 Rolling Oaks Dr Ste 200
Thousand Oaks, CA 91361-1010

Mailing address

2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

Other practice location 1

36867 Cook St Ste 101
Palm Desert, CA 92211-6064
Phone (760) 341-1999

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
I20050504000611 CA Practitioner - Dermatology 0446299135 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G00024865CAMDDermatology Physician
G24865CAMDDermatology Physician
24865CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatology CurrentSince Sep 15, 2022 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Oct 1, 2020 Accepting new patients
Timothy F. Richardson, M.D., a Medical Corporation Current Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

36867 Cook St
Ste 101
Palm Desert, CA 92211
Phone (760) 341-1999

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

55 Rolling Oaks Dr
Ste 200
Thousand Oaks, CA 91361
Phone (805) 497-7529

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Interoperability endpoints

  • Direct secure messaging: rmk102pcs@m743.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: rmk102pcs@m743primeclinicalsystems.direct-ci.com

Organizations & group practices 4

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1881609741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROLLING OAKS DR STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611010",
            "telephone_number": "805-497-7529",
            "fax_number": "805-494-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36867 Cook St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116064",
            "country_code": "US",
            "telephone_number": "760-341-1999",
            "fax_number": "760-341-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMELL",
        "first_name": "RALPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G00024865",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G24865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.