Dermatology Associates of Southern California, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A86029 Issued in CA

Legal business name

DERMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA, INC

Practice address

1850 Redondo Ave
Suite 108
Signal Hill, CA 90755-1251

Phone

(562) 498-2131

Fax

(562) 498-2535

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sharam Yashar, MDNPI 1245264910

Title

Ceo

Phone

(562) 498-2131

Specialties & licenses 1

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

Tax ID family

Dermatology Associates of Southern Calif2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dermatology Associates of Southern California Inc

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1376769265
  NPD tax ID

Locations

Practitioners 1

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

• Sharam Samson Yashar, MD

  • Dermatology Physician
  • Signal Hill, CA
  • NPI 1245264910
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1104991603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 REDONDO AVE",
            "address_2": "SUITE 108",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551251",
            "telephone_number": "562-498-2131",
            "fax_number": "562-498-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 REDONDO AVE",
            "address_2": "SUITE 108",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551251",
            "telephone_number": "562-498-2131",
            "fax_number": "562-498-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "YASHAR",
        "authorized_official_first_name": "SHARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-498-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A86029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosella Dealva-Guerrero
• Sonia Uy Dee, DDS
• Lisa Deeble, PSY. D.
• Kimber Del Valle, PSY.D.
• Ronak Delvadia, PHARM D
• Emily Devercelly, MA, LMFT
• Karlee Dimatteo
• Jeffrey A Dobkin, MD
• Dual Diagnosis Assessment and Treatment Center, Inc.
• Maria T Duarte

• Dermatology Physician in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.