Organization Active NPI

Skin Cancer Center of Monterey, Inc

  • MOHS-Micrographic Surgery Physician
  • Monterey, CA
National Provider Identifier
1235265059
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G47873 Issued in CA
Legal business name
SKIN CANCER CENTER OF MONTEREY, INC
Practice address
977 Pacific St Ste B
Monterey, CA 93940-4400
Phone
(831) 648-8000
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Richard HambleyNPI 1053306688
Title
President
Phone
(831) 648-8000

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
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X G47873 CA Primary

Addresses

Primary practice location

977 Pacific St Ste B
Monterey, CA 93940-4400

Mailing address

977 Pacific St Ste B
Monterey, CA 93940-4400
Phone (831) 648-8000

National Provider Directory

National Provider Directory

Locations

977 Pacific St
Ste B
Monterey, CA 93940
Phone (831) 646-8346

Practitioners & affiliated clinicians

Practitioners 2

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1235265059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 PACIFIC ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404400",
            "telephone_number": "831-648-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 PACIFIC ST STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404400",
            "telephone_number": "831-648-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER CENTER OF MONTEREY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "HAMBLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-648-8000"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G47873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.