Organization Active NPI

Debra B Luftman MD Inc

  • Dermatology Physician
  • Calabasas, CA
National Provider Identifier
1235395062
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G24866 Issued in CA
Legal business name
DEBRA B LUFTMAN MD INC
Practice address
23975 Park Sorrento
Suite 355
Calabasas, CA 91302-4015
Phone
(818) 222-2055
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Debra Perry
Title
Administrator
Phone
(818) 905-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G24866 CA Primary

Addresses

Primary practice location

23975 Park Sorrento
Suite 355
Calabasas, CA 91302-4015

Mailing address

23975 Park Sorrento
Suite 355
Calabasas, CA 91302-4015
Phone (818) 222-2055

Other identifiers 1

IdentifierTypeStateIssuer
G65273OtherCACALIFORNIA CERTIFICATE NUMBER

National Provider Directory

National Provider Directory

Locations

16500 Ventura Blvd
Ste 409
Encino, CA 91436
Phone (818) 905-5277

Practitioners & affiliated clinicians

Practitioners 1

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": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1235395062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23975 PARK SORRENTO",
            "address_2": "SUITE 355",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913024015",
            "telephone_number": "818-222-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23975 PARK SORRENTO",
            "address_2": "SUITE 355",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913024015",
            "telephone_number": "818-222-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA B LUFTMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-905-5277"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G24866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CERTIFICATE NUMBER",
            "identifier": "G65273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.