NPIMap

Organization Active NPI

Skin and Beauty Center Inc

  • Dermatology Physician
  • Burbank, CA
National Provider Identifier
1073751129
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A73000 Issued in CA
Legal business name
SKIN AND BEAUTY CENTER INC
Practice address
2720 W Magnolia Blvd
Burbank, CA 91505-3034
Phone
(818) 842-8000
Fax
(818) 842-3208
NPI assigned
Jan 28, 2009
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Manjunath S Vadmal, MDNPI 1043228083
Title
President
Phone
(818) 842-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A73000 CA Primary

Addresses

Primary practice location

2720 W Magnolia Blvd
Burbank, CA 91505-3034

Mailing address

2720 W Magnolia Blvd
Burbank, CA 91505-3034
Phone (818) 842-8000

Other practice location 1

696 Hampshire Rd Ste 110
Westlake Vlg, CA 91361-4456
Phone (818) 884-8044

Other practice location 2

9535 Reseda Blvd Ste 304
Northridge, CA 91324-6029
Phone (818) 886-3884

Other practice location 3

1577 E Chevy Chase Dr Ste 320
Glendale, CA 91206-4743
Phone (818) 246-4936

Other practice location 4

960 E Green St Ste 108
Pasadena, CA 91106-2401
Phone (626) 449-3830

Other practice location 5

301 S Fair Oaks Ave Ste 302
Pasadena, CA 91105-2562
Phone (626) 792-2378

Other practice location 6

1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444
Phone (818) 790-3588

Other practice location 7

7345 Medical Center Dr Ste 310
West Hills, CA 91307-1961
Phone (818) 884-8044

Other practice location 8

23501 Cinema Dr Ste 111
Valencia, CA 91355-5429
Phone (661) 258-3811

Other names 1

  • SBC - Burbank Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000738 CA Part B Supplier - Clinic/Group Practice 8628170347 Receives reassigned benefits from 36 practitioners
4 other NPIs on this enrollment
Practice locations: Los Angeles, CA; Westlake Village, CA; West Hills, CA; Valencia, CA; Pasadena, CA; Northridge, CA; Glendale, CA; Burbank, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0557210Skin and Beauty Center - West Hills7345 Medical Center Dr, Ste 310, West Hills, CA 91307ComplianceJul 31, 2026
05D0947847Skin and Beauty Center - Glendale South1577 E Chevy Chase Dr, Ste 320, Glendale, CA 91206ComplianceMay 3, 2028
05D2011955Skin and Beauty Center-Pasadena301 S Fair Oaks Ave Ste 302, Pasadena, CA 91105ComplianceMay 17, 2027
05D2011986Skin and Beauty Center SBC, Inc2720 W Magnolia Blvd, Burbank, CA 91505ComplianceMay 18, 2027
05D2144305Skin and Beauty Center- Verdugo Hills1818 Verdugo Blvd Ste 304, Glendale, CA 91208ComplianceDec 6, 2026
05D2325132Skin and Beauty Center-Westlake Village696 Hampshire Rd Ste 110, Westlake Village, CA 91361RegistrationJun 5, 2027

National Provider Directory

National Provider Directory

Locations

8950 W Olympic Blvd
Ste 171
Beverly Hills, CA 90211

6221 Wilshire Blvd
Ste 101
Los Angeles, CA 90048
Phone (323) 935-8800

473 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 792-2378

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1073751129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053034",
            "telephone_number": "818-842-8000",
            "fax_number": "818-842-3208"
        },
        {
            "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": "818-842-3208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "696 Hampshire Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westlake Vlg",
            "state": "CA",
            "postal_code": "913614456",
            "country_code": "US",
            "telephone_number": "818-884-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9535 Reseda Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913246029",
            "country_code": "US",
            "telephone_number": "818-886-3884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1577 E Chevy Chase Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064743",
            "country_code": "US",
            "telephone_number": "818-246-4936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 E Green St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062401",
            "country_code": "US",
            "telephone_number": "626-449-3830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Fair Oaks Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052562",
            "country_code": "US",
            "telephone_number": "626-792-2378",
            "fax_number": "626-792-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Verdugo Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081444",
            "country_code": "US",
            "telephone_number": "818-790-3588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7345 Medical Center Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913071961",
            "country_code": "US",
            "telephone_number": "818-884-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23501 Cinema Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555429",
            "country_code": "US",
            "telephone_number": "661-258-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKIN AND BEAUTY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2025-09-02",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "VADMAL",
        "authorized_official_first_name": "MANJUNATH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-842-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A73000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SBC - Burbank",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.