Individual provider Active NPI

Delila Pouldar Foulad, M.D.

  • Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1083146732
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A156834 Issued in CA
Practice address
2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131
Phone
(310) 917-3376
Fax
(310) 582-6302
NPI assigned
Mar 31, 2017
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X A156834 CA Primary

Addresses

Primary practice location

2020 Santa Monica Blvd Ste 510
Santa Monica, CA 90404-2131

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816003856 CA Practitioner - Dermatology 4183957715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 8426956160, 33 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Suite 216
Los Angeles, CA 90095-0001
Phone (310) 206-8662

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 825-6911

2020 Santa Monica Blvd
Suite 510
Santa Monica, CA 90404-2131
Phone (310) 582-6360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
89.72
Promoting interoperability
100
Improvement activities
40
Cost
67.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions276
Removal or shaving of skin growth1-10
Skin biopsy114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Oct 1, 2022 Accepting new patients
The Regents of the University of California Dermatology CurrentSince Oct 1, 2022 Accepting new patients
The Regents of the University of California CurrentSince Oct 1, 2022 Accepting new patients
UCLA Medical Group Dermatology Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2020 Santa Monica Blvd
Ste 510
Santa Monica, CA 90404
Phone (310) 633-8400

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1083146732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 510",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042131",
            "telephone_number": "310-917-3376",
            "fax_number": "310-582-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULAD",
        "first_name": "DELILA",
        "middle_name": "POULDAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A156834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.