Elizabeth Wachsman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A54906 Issued in CA

Practice address

675 S Arroyo Pkwy
Pasadena, CA 91105-3263

Phone

(626) 585-4120

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Nimni Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of California, San Francisco School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Irradiance Medical Group IncGroup PAC ID 2860534864, 6 clinicians

Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewachsman206121@westdirect.optum.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Dermatology

  Medicare reassignment Care Compare group NPD
• Irradiance Medical Group Inc

  • Procedural Dermatology Physician
  • Los Angeles, CA
  • NPI 1740213198
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Novell & Novell Counseling

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1881743243
  NPD (past)
• Novell & Novell Counseling Services, Inc.

  • Marriage & Family Therapist
  • Perris, CA
  • NPI 1720463037
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Skin and Beauty Center (SBC), Inc.

  • Dermatology Physician
  • Valencia, CA
  • NPI 1316026875
  NPD (past)
• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1033328604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "714-443-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053263",
            "telephone_number": "626-585-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Bellefontaine St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053132",
            "country_code": "US",
            "telephone_number": "626-304-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052603",
            "country_code": "US",
            "telephone_number": "626-304-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACHSMAN",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A54906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NIMNI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Marie Vuong, LVN
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• W. Frederick Stephens,DDS,Inc
• W.James Henneberg, M.D. Inc.
• Jamie Fauve Waarbroek, PMNHNP-BC
• Matthew Wada
• Takashi Michael Wada, MD
• Carley Ann Wade, OTR/L
• Levi Carl Wade
• Vanessa Mary Wade, LVN

• Dermatology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.