California Dermatology Care

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

51771 Issued in CA

Legal business name

CALIFORNIA DERMATOLOGY CARE

Practice address

2262 Camino Ramon
San Ramon, CA 94583-1353

Phone

(925) 328-0255

Fax

(925) 328-0257

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Oanhtuyet Kathy Dao, PA-C

Title

Physician Assistant

Phone

(408) 784-8322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1043613862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831353",
            "telephone_number": "925-328-0255",
            "fax_number": "925-328-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831353",
            "telephone_number": "925-328-0255",
            "fax_number": "925-328-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DERMATOLOGY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "OANHTUYET",
        "authorized_official_middle_name": "KATHY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "408-784-8322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "51771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.