Derm-Aid, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DERM-AID, LLC

Practice address

17822 Beach Blvd Ste 325
Huntington Beach, CA 92647-7512

Phone

(714) 876-5476

Fax

(323) 433-9177

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Steven Dominguez, MDNPI 1699838375

Title

President

Phone

(714) 876-5476

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven Dominguez, MD

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1699838375
  NPD Authorized official

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1265055644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 SHELBURNE CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809503",
            "telephone_number": "714-876-5476",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 325",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477512",
            "telephone_number": "714-876-5476",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM-AID, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-876-5476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Jeanette Dequardo, DNP, APRN, FNP-BC
• Negar Derakhshani
• David Deranian
• Derek K. Wangberg a Psychological Corporation
• Deric C Simmons
• Roshni S. Desai, DMD
• Desert Mallow Healthcare, Inc.
• Larissa Desiree Norzagaray
• Donna C Dessau, FNP-C
• Brooke Devalk

• Durable Medical Equipment & Medical Supplies in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.