NPIMap

Organization Active NPI

Bierman Century City Derm

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1174517890
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A19760 Issued in CA
Legal business name
BIERMAN CENTURY CITY DERM
Practice address
2080 Century Park E
Suite 1008
Los Angeles, CA 90067-2001
Phone
(310) 553-3567
Fax
(310) 553-4538
NPI assigned
Sep 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Stanley Melvin Bierman, MD
Title
President
Phone
(310) 553-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A19760 CA Primary

Addresses

Primary practice location

2080 Century Park E
Suite 1008
Los Angeles, CA 90067-2001

Mailing address

2080 Century Park E
Suite 1008
Los Angeles, CA 90067-2001
Phone (310) 553-3567

Other identifiers 4

IdentifierTypeStateIssuer
$$$$$$$$$OtherCASOCIAL SECURITY NUMBER
W901OtherCAPTAN FOR BIERMAN CENTURY CITY DERMATOLOGY MED GRP
00A19760OtherCAPROVIDER NUMBER
WA19760BOtherCAPTAN FOR STANLEY M. BIERMAN

Other names 1

  • Bierman Century City Dermatology Medical Group Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1174517890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1008",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-3567",
            "fax_number": "310-553-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1008",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-3567",
            "fax_number": "310-553-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIERMAN CENTURY CITY DERM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BIERMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-553-3567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A19760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR BIERMAN CENTURY CITY DERMATOLOGY MED GRP",
            "identifier": "W901",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "00A19760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR STANLEY M. BIERMAN",
            "identifier": "WA19760B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bierman Century City Dermatology Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.