NPIMap

Organization Active NPI

California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Santa Ana, CA
National Provider Identifier
1134813348
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CALIFORNIA DERMATOLOGY INSTITUTE PC
Practice address
1211 N Broadway
Santa Ana, CA 92701-3411
Phone
(888) 367-1850
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Navid Ezra, MDNPI 1104110071
Title
Ceo
Phone
(805) 222-5803

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1211 N Broadway
Santa Ana, CA 92701-3411

Mailing address

1211 N Broadway
Santa Ana, CA 92701-3411

Other names 1

  • California Dermatology Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Navid Ezra MD Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

1211 N Broadway
Santa Ana, CA 92701

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1134813348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013411",
            "telephone_number": "888-367-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DERMATOLOGY INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "EZRA",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-222-5803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Dermatology Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Dermatology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.