Primary Care Skin Solutions & Psoriasis Treatment Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

PRIMARY CARE SKIN SOLUTIONS & PSORIASIS TREATMENT INC

Practice address

16501 Walnut St Ste 11
Hesperia, CA 92345-3684

Phone

(909) 328-2141

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Edwin M Ashley, MD

Title

President

Phone

(909) 328-2141

Specialties & licenses 1

Addresses

Other names 1

• Primary Skin Care Solutions & Psoriasis Treatment Doing business as

Locations

Practitioners 1

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

• Monte Carl Burnam, P.A.-C

  • Physician Assistant
  • Encino, CA
  • NPI 1639129729
  NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1043804784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 WALNUT ST STE 11",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453684",
            "telephone_number": "909-328-2141",
            "fax_number": "909-328-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 WALNUT ST STE 11",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453684",
            "telephone_number": "909-328-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Brookside Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923735189",
            "country_code": "US",
            "telephone_number": "909-328-2141",
            "fax_number": "909-328-2289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE SKIN SOLUTIONS & PSORIASIS TREATMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-328-2141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Skin Care Solutions & Psoriasis Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Skin Care Solutions & Psoriasis Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Immanuel Potes, MD
• Javid Pour-Ghasemi, DMD
• April Joy Power
• Maria Preciado Gallardo
• Preferred Non-Emergency Transport
• Chung Yol Pyo, LAC
• Helen Malsoon Pyo, LAC ACUPUNCTURIST
• Irene Quezada
• Blanca Quinones
• Rebecca Quintana

• Allergy & Immunology Physician in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.