California Dermatology Institute PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CALIFORNIA DERMATOLOGY INSTITUTE PC

Doing business as

California Dermatology Institute

Practice address

3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130

Phone

(805) 222-5803

NPI assigned

Nov 7, 2016

Last updated

Jun 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Navid Ezra, MDNPI 1104110071

Title

MD

Phone

(805) 222-5803

Specialties & licenses 2

Addresses

Other names 2

• California Dermatology Institute Doing business as
• Navid Ezra MD Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA, AZ3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Navid Ezra, M.D.

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1104110071

  AZ

  Medicare reassignment Care Compare group NPD Authorized official
• Sabreen Faqihi, MD

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1588126148
  Medicare reassignment Care Compare group NPD
• Ji Eun Kim, PA-C

  • Medical Physician Assistant
  • Monterey, CA
  • NPI 1316834047
  Medicare reassignment Care Compare group NPD
• Ardeshir Edward Nadimi, M.D.

  • MOHS-Micrographic Surgery Physician
  • Los Angeles, CA
  • NPI 1992190417
  Medicare reassignment Care Compare group NPD
• Kameron S Rezzadeh, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1871955153
  Medicare reassignment Care Compare group NPD
• Kelly Victoria Valenzuela, PA-C

  • Physician Assistant
  • Long Beach, CA
  • NPI 1245015783
  Medicare reassignment Care Compare group NPD
• Brevin Joseph Domingo, PA-C

  • Physician Assistant
  • Pomona, CA
  • NPI 1346076189
  Medicare reassignment Care Compare group NPD (past)
• Chase Diego

  • Medical Physician Assistant
  • Thousand Oaks, CA
  • NPI 1306623525
  Medicare reassignment Care Compare group
• Tiffany Dinh

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1033903869
  Medicare reassignment Care Compare group
• Christopher James Dominguez, PA

  • Medical Physician Assistant
  • Huntington Park, CA
  • NPI 1811701923
  Medicare reassignment Care Compare group
• Adriana Giron

  • Physician Assistant
  • Northridge, CA
  • NPI 1750015715
  Medicare reassignment Care Compare group
• Elida Gonzalez

  • Medical Physician Assistant
  • Ventura, CA
  • NPI 1679350896
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1235671389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD, SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "805-222-5803",
            "fax_number": "805-222-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "805-222-5803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3095 Old Conejo Rd # 200",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913202130",
            "country_code": "US",
            "telephone_number": "805-222-5803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Catalina Dr",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648112",
            "country_code": "US",
            "telephone_number": "888-367-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA DERMATOLOGY INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "EZRA",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "805-222-5803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Dermatology Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Navid Ezra MD Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dermatology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.