Organization Active NPI

Curaderm Inc

  • Emergency Medicine Physician
  • Redlands, CA
National Provider Identifier
1255228565
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CURADERM INC
Practice address
1690 Barton Rd Ste 160
Redlands, CA 92373-4229
Phone
(909) 648-7629
NPI assigned
Jun 19, 2025
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Brian Anderson Jr, MD
Title
Owner
Phone
(909) 648-7629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1690 Barton Rd Ste 160
Redlands, CA 92373-4229

Mailing address

1690 Barton Rd Ste 160
Redlands, CA 92373-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250928000160 CA Part B Supplier - Clinic/Group Practice 7214432350 Receives reassigned benefits from 8 practitioners
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory

Locations

1690 Barton Rd
Ste 160
Redlands, CA 92373
Phone (909) 648-7629

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1255228565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BARTON RD STE 160",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BARTON RD STE 160",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734229",
            "telephone_number": "909-648-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURADERM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON JR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-648-7629",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.