DR. CURTIS KIYOSHI KODAMA (NPI# 1679560973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679560973 |
| Entity Type | Individual |
| Full Name | DR. CURTIS KIYOSHI KODAMA |
| Credential | D.O. |
| Practice Address |
865 Patriot Dr Ste 101 Moorpark CA 93021-3407 |
| Practice Telephone | 8055322032 |
| Practice Fax Number | 8055322844 |
| Mailing Telephone | 8055322032 |
| Mailing Fax Number | 8055322844 |
| Enumeration Date | 2005-10-01 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A6143 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX61430 | 05 |
| Street Address |
865 PATRIOT DR STE 101 |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1477606945 | Kimberly A Tedder | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2007-01-19 |
| Find all providers in zip 93021 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114308343 | Fma Family Practice Inc | Family Medicine | 885 Patriot Dr, Unit F, Moorpark, CA 93021-3361 | 2015-06-12 |
| 1477797124 | Fadel Abdulhai | Family Medicine | 885 Patriot Dr Ste F, Moorpark, CA 93021-3353 | 2009-04-25 |
| 1407982622 | Amy Elizabeth Jones | Family Medicine | 612 Spring Rd Bldg A, Moorpark, CA 93021-1298 | 2007-02-23 |
| 1801321948 | Howell Healthcare Mp Inc | Family Medicine | 35 W Los Angeles Ave, Moorpark, CA 93021-1820 | 2017-04-26 |
| 1922487560 | Reliance Medical Management, LLC | Family Medicine | 13990 Bear Fence Ct, Moorpark, CA 93021-5022 | 2015-05-28 |
| 1356728463 | Annapurna Karra | Family Medicine | 612 Spring Rd Bldg A, Moorpark, CA 93021-1298 | 2015-04-28 |
| 1730452301 | Moorpark Comprehensive Urgent Care, Inc. | Family Medicine | 865 Patriot Dr, Suite 102, Moorpark, CA 93021-3407 | 2012-02-13 |
| 1659653954 | Julina Howell | Family Medicine | 35 W Los Angeles Ave, Moorpark, CA 93021-1820 | 2011-09-13 |
| 1659678811 | Dr. Curtis Kodama & Associates, Inc. | Family Medicine | 865 Patriot Dr, Suite 101, Moorpark, CA 93021-3509 | 2011-02-23 |
| 1295904936 | Moorpark Family Medicine Inc | Family Medicine | 301 Science Dr, Suite #190, Moorpark, CA 93021-2094 | 2008-02-27 |
| Find all providers in MOORPARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.