NPIMap

Organization Active NPI

California Dermatology Institute PC

Doing business as California Dermatology Institute

  • Non-Pharmacy Dispensing Site
  • Northridge, CA
National Provider Identifier
1316650047
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CALIFORNIA DERMATOLOGY INSTITUTE PC
Doing business as
California Dermatology Institute
Practice address
18433 Roscoe Blvd Ste 104
Northridge, CA 91325-4127
Phone
(888) 367-1850
NPI assigned
Dec 27, 2022
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Navid EzraNPI 1104110071
Title
Owner
Phone
(888) 367-1850

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
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

18433 Roscoe Blvd Ste 104
Northridge, CA 91325-4127

Mailing address

3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130
Phone (888) 367-1850

Other practice location 1

18433 Roscoe Blvd Ste 101
Northridge, CA 91325-4122
Phone (888) 367-1850

Other names 1

  • California Dermatology Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Navid Ezra MD Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

18433 Roscoe Blvd
Ste 101
Northridge, CA 91325

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1316650047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "888-367-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254127",
            "telephone_number": "888-367-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18433 Roscoe Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913254122",
            "country_code": "US",
            "telephone_number": "888-367-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA DERMATOLOGY INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "EZRA",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-367-1850"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Dermatology Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Dermatology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.