Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Gene Kolder, MD

Individual provider Surgery Physician · NPI 1942393053

Daniel Gene Kolder, MD is a Plastic and Reconstructive Surgery in Camarillo, California. Graduated from Creighton University School of Medicine in 2004, 22 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Trained at
Creighton University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2460 N Ponderosa Dr Ste A117
Camarillo, CA 93010-2468
Phone: (805) 484-2855
Fax: (805) 389-1245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2460 N Ponderosa Dr Ste A116, Camarillo, CA 93010-2468 — (805) 484-2855

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence T2004016415 (MO)

Record details

NPI number1942393053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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