Dermatology Consultants of Marin Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

039815 Issued in CA

Legal business name

DERMATOLOGY CONSULTANTS OF MARIN INC

Practice address

5000 Civic Center Dr
San Rafael, CA 94903-4184

Phone

(415) 499-0100

Fax

(415) 499-0290

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Amy S Kobalter, M.D.

Title

Secretary

Phone

(415) 499-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Kristen Li Chen, MD

  • Dermatology Physician
  • San Rafael, CA
  • NPI 1952930604
  NPD
• Lucinda Liu Kohn, M.D.

  • Pediatric Dermatology Physician
  • San Rafael, CA
  • NPI 1346669561
  NPD
• William C. Chow, D.O.

  • Specialist
  • Oakland, CA
  • NPI 1417981192
  NPD (past)
• Christina G Kendrick, M.D.

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1033144183
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1194759720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CIVIC CENTER DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034184",
            "telephone_number": "415-499-0100",
            "fax_number": "415-499-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CIVIC CENTER DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034184",
            "telephone_number": "415-499-0100",
            "fax_number": "415-499-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CONSULTANTS OF MARIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "KOBALTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "415-499-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "039815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "039815",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Dempsey, LMFT
• Jeanne-Louise Scout Denatale
• Derek Deng
• Anna Michelle Denham, MD
• Christina Derebenskiy-Chow, MS, CCC-SLP
• Jayshree B. Desai, MD
• Julie Kay Desch
• Elizabeth G. Dessouky, MD
• Dionne Faye Detraz, RD
• Donna Deufemia, CACMT

• Dermatology Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.