The Dermatology Bar, a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE DERMATOLOGY BAR, A MEDICAL CORPORATION

Practice address

3333 Concours St.
BLDG 1, Suite 1201
Ontario, CA 91764

Phone

(909) 476-4077

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Britney KaufmanNPI 1255500724

Title

Co-Owner

Phone

(909) 476-4077

Specialties & licenses 6

Addresses

Other names 1

• The DermBar Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Britney Elise Kaufman, PA

  • Physician Assistant
  • Ontario, CA
  • NPI 1255500724
  Medicare reassignment Care Compare group Authorized official
• Cherilou Cruz Concepcion, NP

  • Family Nurse Practitioner
  • Ontario, CA
  • NPI 1679191951

  Dermatology

  Medicare reassignment Care Compare group NPD
• Rudy Franklin Schmiedecke, MD

  • Dermatology Physician
  • San Diego, CA
  • NPI 1427398296
  Medicare reassignment Care Compare group NPD
• Michelle Jessica Carhill, NP

  • Nurse Practitioner
  • Upland, CA
  • NPI 1023873759
  Medicare reassignment

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1073334181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS ST.",
            "address_2": "BLDG 1, SUITE 1201",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91764",
            "telephone_number": "909-476-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS ST.",
            "address_2": "BLDG 1, SUITE 1201",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91764",
            "telephone_number": "909-476-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY BAR, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "909-476-4077"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The DermBar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The DermBar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Akshara P Thakore
• Kishan Thapar, M.D.
• THC - Orange County, LLC
• THC - Orange County, LLC
• The Cataract Vision Institute LLC
• The Dermbar a Physician Assistant Co
• The Guided Path Foundation
• The Healing Place Inc.
• The Noire Nurse Wellness Collective, LLC
• The Purple Company LLC

• Dermatology Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.