Active NPI
Dermatology Institute & Skin Care Center, Inc.
- Dermatology Physician
- Santa Monica, CA
National Provider Identifier
1164532339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A53239
- Legal business name
- DERMATOLOGY INSTITUTE & SKIN CARE CENTER, INC.
- Practice address
- 2001 Santa Monica Blvd
#1160W
Santa Monica, CA 90404-2102 - Phone
- (310) 829-4104
- Fax
- (310) 829-4150
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Veronica Partida
- Title
- Practice Manager
- Phone
- (310) 829-4104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A53239 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd
#1160W
Santa Monica, CA 90404-2102
Mailing address
2001 Santa Monica Blvd
#1160W
Santa Monica, CA 90404-2102
Phone (310) 829-4104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1038446 | Dermatology Institute | Compliance | Oct 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
2001 Santa Monica Blvd
Ste 116
Santa Monica, CA 90404
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1275114803
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1720074537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485993600000",
"number": "1164532339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "#1160W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-829-4104",
"fax_number": "310-829-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "#1160W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-829-4104",
"fax_number": "310-829-4150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY INSTITUTE & SKIN CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2017-02-02",
"status": "A",
"authorized_official_last_name": "PARTIDA",
"authorized_official_first_name": "VERONICA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "310-829-4104",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A53239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.