NPIMap

Organization Active NPI

Clayton Hinshaw M.D., Inc

Doing business as Hinshaw Dermatology

  • Dermatology Physician
  • Simi Valley, CA
National Provider Identifier
1033988274
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CLAYTON HINSHAW M.D., INC
Doing business as
Hinshaw Dermatology
Practice address
2925 Sycamore Dr Ste 204
Simi Valley, CA 93065-1208
Phone
(310) 890-5883
NPI assigned
Dec 29, 2023
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Dr. Clayton Hinshaw, MDNPI 1326043456
Title
President
Phone
(310) 890-5883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

2925 Sycamore Dr Ste 204
Simi Valley, CA 93065-1208

Mailing address

2925 Sycamore Dr Ste 204
Simi Valley, CA 93065-1208
Phone (310) 890-5883

Other names 1

  • HINSHAW DERMATOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130000754 CA Part B Supplier - Clinic/Group Practice 4284163668 Receives reassigned benefits from 1 practitioner
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

2925 Sycamore Dr
Ste 203
Simi Valley, CA 93065
Phone (805) 527-6586

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1033988274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 204",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "310-890-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 204",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "310-890-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON HINSHAW M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "HINSHAW",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-890-5883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HINSHAW DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.