OrganizationActive
Dermatology Medical Group of Oxnard and Camarillo
NPI 1063606242 · Dermatopathology Physician · Camarillo, CA
Provider details
- NPI number
- 1063606242
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Lau, Managing Partner(805) 482-4646
- License
- A75621 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Paseo Camarillo
Suite 104
Camarillo, CA 93010-5900
Phone: (805) 482-4646
Fax: (805) 987-2533
Street-level locationGet directions
Mailing address
500 Paseo Camarillo
Camarillo, CA 93010-5900
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2011-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.