NPIMap

Organization Active NPI

Skin and Beauty Center (SBC), Inc.

  • Dermatology Physician
  • Valencia, CA
National Provider Identifier
1316026875
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A73000 Issued in CA
Legal business name
SKIN AND BEAUTY CENTER (SBC), INC.
Practice address
23501 Cinema Dr Ste 111
Valencia, CA 91355-5429
Phone
(661) 258-3811
NPI assigned
Nov 3, 2006
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Dr. Manjunath S Vadmal, MDNPI 1043228083
Title
President
Phone
(323) 857-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A73000 CA Primary

Addresses

Primary practice location

23501 Cinema Dr Ste 111
Valencia, CA 91355-5429

Mailing address

2720 W Magnolia Blvd
Burbank, CA 91505-3034
Phone (818) 842-8000

Other names 1

  • SBC INC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000738 CA Part B Supplier - Clinic/Group Practice 8628170347 Receives reassigned benefits from 36 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Westlake Village, CA; West Hills, CA; Valencia, CA; Pasadena, CA; Northridge, CA; Glendale, CA; Burbank, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2220 N Screenland Dr
Ste 101
Burbank, CA 91505
Phone (323) 935-8800

2720 W Magnolia Blvd
Burbank, CA 91505
Phone (818) 842-8000

6221 Wilshire Blvd
Ste 101
Los Angeles, CA 90048
Phone (323) 857-0777

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1316026875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053034",
            "telephone_number": "818-842-8000",
            "fax_number": "818-478-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR STE 111",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555429",
            "telephone_number": "661-258-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN AND BEAUTY CENTER (SBC), INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "VADMAL",
        "authorized_official_first_name": "MANJUNATH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-857-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A73000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SBC INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SBC INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.