California Dermatology Group PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CALIFORNIA DERMATOLOGY GROUP PC

Practice address

2323 Oak Park LN Ste 202
Santa Barbara, CA 93105-4276

Phone

(805) 892-8111

Fax

(805) 892-8444

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Aegean Chan, MDNPI 1356607451

Title

Owner

Phone

(805) 208-7656

Specialties & licenses 2

Addresses

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

Practitioners 5

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

• Aegean H Chan, MD

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1356607451
  Medicare reassignment Care Compare group NPD Authorized official
• Mark E Burnett, M.D.

  • MOHS-Micrographic Surgery Physician
  • Santa Barbara, CA
  • NPI 1104182393

  Dermatology

  Medicare reassignment Care Compare group NPD
• Sean G Fisher, PA

  • Medical Physician Assistant
  • Santa Barbara, CA
  • NPI 1154512986
  Medicare reassignment
• Carlie Anne Trevelyan, PA

  • Physician Assistant
  • Santa Barbara, CA
  • NPI 1639856339
  Medicare reassignment
• Morgan Findlay, NP

  • Nurse Practitioner
  • Santa Barbara, CA
  • NPI 1063097798
  NPD

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1104405943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 OAK PARK LN STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054276",
            "telephone_number": "805-892-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 OAK PARK LN STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054276",
            "telephone_number": "805-892-8111",
            "fax_number": "805-892-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Viborg Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Solvang",
            "state": "CA",
            "postal_code": "934633224",
            "country_code": "US",
            "telephone_number": "805-892-8222",
            "fax_number": "805-892-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA DERMATOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "AEGEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-208-7656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Caldwell
• Joseph Ivins Caldwell Jr., BA
• Peter Craig Caldwell, P.D.
• Bradford Lee Calhoun
• California Convalescent Hospital of Santa Barbara Inc (The Californian)
• California Dermatology Institute PC (California Dermatology Institute)
• California Managed Imaging Medical Group, Inc
• California Psychology, Marriage & Family Therapy Inc.
• California Retina Consultants (California Retina Consultants, a Professional Medical Corporation)
• Clay Callaghan, DO

• Dermatology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.