Contour Dermatology and Cosmetic Surgery Medical Center, Apc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER, APC

Doing business as

Contour Dermatology and Cosmetic Surgery Center

Practice address

42600 Mirage Rd
Rancho Mirage, CA 92270-4127

Phone

(760) 423-4000

Fax

(760) 318-8103

NPI assigned

Oct 16, 2006

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lee Elias Erwin

Title

Executive Director

Phone

(760) 423-4043

Specialties & licenses 4

Addresses

Other names 1

• Contour Dermatology and Cosmetic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 28

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.

• Jessica Lyn Arnold, NP-C

  • Family Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1538518949
  Medicare reassignment Care Compare group NPD
• Srita Chakka

  • Dermatology Physician
  • Rancho Mirage, CA
  • NPI 1972130888
  Medicare reassignment Care Compare group NPD
• Kara Lynn Crane, N.P.

  • Adult Health Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1851532220
  Medicare reassignment Care Compare group NPD
• Zhe Hou, MD

  • Dermatology Physician
  • Brea, CA
  • NPI 1760800973
  Medicare reassignment Care Compare group NPD
• Timothy Mark Jochen, MD

  • Procedural Dermatology Physician
  • Rancho Mirage, CA
  • NPI 1083748461
  Medicare reassignment Care Compare group NPD
• Xarlyn Pulido Rantung, NP-C

  • Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1952829228
  Medicare reassignment Care Compare group NPD
• Chloe Renee Rayos

  • Family Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1184236572
  Medicare reassignment Care Compare group NPD
• Kameron S Rezzadeh, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1871955153
  Medicare reassignment Care Compare group NPD
• Manjunath S Vadmal, M.D.

  • Dermatology Physician
  • Burbank, CA
  • NPI 1043228083
  Medicare reassignment Care Compare group NPD
• Heather Helena White, FNP

  • Nurse Practitioner
  • Palm Springs, CA
  • NPI 1588997407
  Medicare reassignment Care Compare group NPD
• Kiyanna Marie Williams, MD

  • Dermatology Physician
  • Rancho Mirage, CA
  • NPI 1487008751
  Medicare reassignment Care Compare group NPD
• Elaine Woo, NP-C

  • Family Nurse Practitioner
  • Rancho Mirage, CA
  • NPI 1265433437
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1063502227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD STE A1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46080 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922534401",
            "country_code": "US",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "558 S Paseo Dorotea",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922641429",
            "country_code": "US",
            "telephone_number": "760-423-4000",
            "fax_number": "760-318-8103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11326 Mountain View Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543817",
            "country_code": "US",
            "telephone_number": "909-799-0029",
            "fax_number": "760-318-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-423-4043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A70216",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contour Dermatology and Cosmetic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Contour Dermatology and Cosmetic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Eileen Conklin, LCSW
• Janet Elaine Conley, NP-C
• Connect Hearing, Inc.
• Dennis Kaighn Constan, PHARMD
• James Elliott Conti, M.D.
• Kirsten Renee Contreras, PA-C
• Timothy Michael Cookerly, FNP-BC
• Edward B Cooper, M.D.
• Glenn Arthur Cooperman, MD
• Francisco Javier Cordova, M.D.

• Dermatology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.