Dermamed Professional Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DERMAMED PROFESSIONAL CORPORATION

Practice address

18226 Ventura Blvd
Suite 102
Tarzana, CA 91356-4236

Phone

(877) 777-8346

Fax

(818) 643-8744

NPI assigned

Jun 18, 2016

Organization subpart

No

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

Authorized official

Name

Meharan Khorsandi, MD

Title

President

Phone

(877) 777-8346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1194175315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18226 VENTURA BLVD",
            "address_2": "SUITE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564236",
            "telephone_number": "877-777-8346",
            "fax_number": "818-643-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18226 VENTURA BLVD",
            "address_2": "SUITE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564236",
            "telephone_number": "877-777-8346",
            "fax_number": "818-643-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAMED PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-18",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "KHORSANDI",
        "authorized_official_first_name": "MEHARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-777-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis a. Casciato, M.D., Inc.
• Frederick Theodore Dennis, M.D.
• Sean Dennis, PTA
• Kristi Mae Depew, RADT
• Vicken A Derbalian, D.D.S
• Brennan Deslauriers, COTA/L
• Lindsey Heather Desouza
• Ajeeta Deuja
• Cherilyn Devecka
• Natalie Rose Devries

• Cardiovascular Disease Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.