Dermatologicare Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G77137 Issued in CA

Legal business name

DERMATOLOGICARE MEDICAL CORPORATION

Practice address

414 N Camden Dr
Suite 1001
Beverly Hills, CA 90210-4532

Phone

(310) 247-0337

Fax

(310) 247-0343

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Reza Babapour, MDNPI 1689780710

Title

MD Owner

Phone

(310) 247-0337

Specialties & licenses 2

Addresses

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 1

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

• Reza Babapour, MD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1689780710
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1306940465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "SUITE 1001",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-247-0337",
            "fax_number": "310-247-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "SUITE 1001",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-247-0337",
            "fax_number": "310-247-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGICARE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "BABAPOUR",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "310-247-0337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G77137",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G77137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachele M Dependahl, RD
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• Derek Tow DMD, MD Inc
• Derenik Estepanian, M.D., Inc.
• Arielle Derhy
• Dermatology and Facial Plastics Experts
• Dermatology Associates of Beverly Hills
• Desai Plastic Surgery
• Urmen Desai, MD MPH FACS
• Al Desamparado

• Dermatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.