Manjunath S Vadmal, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A73000 Issued in CA

Practice address

2720 W Magnolia Blvd
Burbank, CA 91505-3034

Phone

(818) 842-8000

Fax

(323) 935-8804

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

PathologyAlso: Dermatology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Contour Dermatology and Cosmetic Surgery Medical Center ApcGroup PAC ID 5890716146, 17 clinicians

American Skin Institute IncGroup PAC ID 8224285085, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.92 of 100Reported as group

Quality

95.83

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.23 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mvadmal@dcm-ca.emadirect.md

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.

• Skin and Beauty Center Inc

  • Dermatology Physician
  • Burbank, CA
  • NPI 1073751129
  Medicare reassignment Care Compare group NPD Authorized official
• American Skin Institute Inc.

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1023377082
  Medicare reassignment Care Compare group NPD
• Contour Dermatology and Cosmetic Surgery Medical Center, Apc

  • Dermatology Physician
  • Rancho Mirage, CA
  • NPI 1063502227
  Medicare reassignment Care Compare group NPD
• Skin and Beauty Center (SBC), Inc.

  • Dermatology Physician
  • Valencia, CA
  • NPI 1316026875
  NPD (past) Authorized official
• Northridge Dermatology Associates Medical Group Inc

  • Dermatology Physician
  • Northridge, CA
  • NPI 1346261617
  NPD
• Skin and Beauty Center (SBC), Inc.

  • Specialist
  • Northridge, CA
  • NPI 1972920759
  NPD
• Peter Jahangir Parker M D Inc.

  • Allergy & Immunology Physician
  • Glendale, CA
  • NPI 1184721284
  NPD (past)
• Peter Jahangir Parker, MD, Inc.

  • Allergy & Immunology Physician
  • Glendale, CA
  • NPI 1720290364
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  NPD (past)
• University Pathology Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1952325565
  NPD (past)
• Usc Internal Medicine, Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1356390009
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1043228083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 W OLYMPIC BLVD",
            "address_2": "SUITE 171",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113561",
            "telephone_number": "323-935-8800",
            "fax_number": "323-935-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053034",
            "telephone_number": "818-842-8000",
            "fax_number": "323-935-8804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23501 Cinema Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555429",
            "country_code": "US",
            "telephone_number": "877-822-2223",
            "fax_number": "323-935-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VADMAL",
        "first_name": "MANJUNATH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A73000",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A73000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220031112",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A730000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betsy E Usher, M.A.
• V & Y Management Inc
• V Star Hospice Care, Inc.
• V.E.D.C Laboratory
• VA Care Hospice
• Roberto J. Vado, ED.D.
• Sergey Nersesi Vahratyan, PHARMD
• Maria Isabel Val, O.D.
• Melinda Valderrama
• Aurora Valdez de la Torre

• Dermatology Physician in Burbank, CA
• Providers in Burbank, 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 31, 2019; 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.