Individual provider Active NPI

Holly Louise Christman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sausalito, CA
National Provider Identifier
1275567323
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G56005 Issued in CA
Practice address
2330 Marinship Way Ste 370
Sausalito, CA 94965
Phone
(415) 887-9758
Fax
(415) 887-9763
NPI assigned
Jul 11, 2006
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G56005 CA
MOHS-Micrographic Surgery Physician 207ND0101X G56005 CA Primary
Dermatopathology Physician 207ND0900X G56005 CA
Procedural Dermatology Physician 207NS0135X G56005 CA

Addresses

Primary practice location

2330 Marinship Way Ste 370
Sausalito, CA 94965

Mailing address

2330 Marinship Way Ste 370
Sausalito, CA 94965-2853
Phone (415) 887-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000648 CA Practitioner - Dermatology 8921905357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
80.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G56003CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Empire Dermatology Inc CurrentSince Jul 1, 2003 Accepting new patients
Dermatology Medical Group of San Francisco, Inc Dermatology CurrentSince Jan 1, 2008 Accepting new patients
Southern Marin Dermatology, Inc. Dermatology CurrentSince Mar 18, 2018 Accepting new patients
Daphne Miller MD Past Accepting new patients
Avril Swan MD, PC PastSince May 4, 2013 Accepting new patients
Dermatology Medical Group of SF PastSince Jan 1, 2008 Accepting new patients

Locations

301 East St
Healdsburg, CA 95448
Phone (707) 433-4239

490 Post St
Ste 700
San Francisco, CA 94102
Phone (415) 362-2238

6574 Oakmont Dr
Ste B
Santa Rosa, CA 95409
Phone (707) 542-5664

2330 Marinship Way
Ste 370
Sausalito, CA 94965
Phone (415) 887-2853

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1275567323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652853",
            "telephone_number": "415-887-9758",
            "fax_number": "415-887-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "94965",
            "telephone_number": "415-887-9758",
            "fax_number": "415-887-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAN",
        "first_name": "HOLLY",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G56005",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G56005",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G56005",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G56005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

Verify at the official NPI Registry.