Oak Tree Dermatology

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

OAK TREE DERMATOLOGY

Practice address

160 E Artesia St Ste 325
Pomona, CA 91767-2922

Phone

(909) 620-5300

Fax

(909) 620-8900

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

David Robles, MDNPI 1326156233

Title

Dermatologist /Owner

Phone

(949) 705-8665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David T Robles, MD, PHD

  • Dermatology Physician
  • Pomona, CA
  • NPI 1326156233
  Medicare reassignment NPD Authorized official
• Sonia Dossa

  • Physician Assistant
  • Pomona, CA
  • NPI 1902775364
  Medicare reassignment
• Victoria Allissa Perez, PA-C

  • Physician Assistant
  • Wildomar, CA
  • NPI 1649050444
  Medicare reassignment
• Alexandra Derosa, PA-C

  • Physician Assistant
  • Boston, MA
  • NPI 1710726948

  CA

  Medicare reassignment
• David Ramos

  • Medical Physician Assistant
  • Riverside, CA
  • NPI 1164371779
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1003564089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 325",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672922",
            "telephone_number": "909-620-5300",
            "fax_number": "909-620-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 325",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672922",
            "telephone_number": "909-620-5300",
            "fax_number": "909-620-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DERMATOLOGIST /OWNER",
        "authorized_official_telephone_number": "949-705-8665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O.William Arana D.D.S.,M.S. Inc
• Sean O'Donnell
• Connor O'Malley
• Brian Frederick O'Neill, D.P.M.
• Patrick Dermot James O'Sullivan
• John L. Oakley, M.D.
• Chasie Mariko Oandasan
• John-Paul Obae, RN
• Nicklas Hans Oberg
• Alex Obiefuna

• Dermatopathology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.