Affiliated Dermatologists, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G079257 Issued in CA

Legal business name

AFFILIATED DERMATOLOGISTS, INC.

Practice address

3901 Las Posas Rd
Suite 108
Camarillo, CA 93010

Phone

(805) 484-3331

Fax

(805) 987-2118

NPI assigned

Jun 7, 2006

Last updated

Jan 25, 2011By 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

Edward A Searle, MDNPI 1225013105

Title

Physician /President

Phone

(805) 484-3331

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 3

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.

• Edward A. Searle, M.D.

  • Dermatology Physician
  • Camarillo, CA
  • NPI 1225013105
  Medicare reassignment Care Compare group NPD Authorized official
• Jill Serene Mines, MD

  • Dermatology Physician
  • Camarillo, CA
  • NPI 1003840869
  Medicare reassignment Care Compare group NPD
• Gerald Nathan Karpman, M.D.

  • Dermatology Physician
  • Camarillo, CA
  • NPI 1619905437
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1306886429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE 108",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-484-3331",
            "fax_number": "805-987-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "SUITE 108",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93010",
            "telephone_number": "805-484-3331",
            "fax_number": "805-987-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED DERMATOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SEARLE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN /PRESIDENT",
        "authorized_official_telephone_number": "805-484-3331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G079257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG297660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ54249Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Crystal Aframian
• Afrouz Gerayli MD Inc
• Marleen Aganon

• Dermatology Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.