Provider Demographics
NPI:1619905437
Name:KARPMAN, GERALD NATHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:NATHAN
Last Name:KARPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 N PONDEROSA DR
Mailing Address - Street 2:C-105
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2369
Mailing Address - Country:US
Mailing Address - Phone:805-388-2068
Mailing Address - Fax:805-484-7700
Practice Address - Street 1:2438 N PONDEROSA DR
Practice Address - Street 2:C-105
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2369
Practice Address - Country:US
Practice Address - Phone:805-388-2068
Practice Address - Fax:805-484-7700
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29766207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G297660Medicaid
A91222Medicare UPIN
CA00G297660Medicaid
CN195AMedicare PIN
CACN195AMedicare PIN