Dermatology Medical Group of San Francisco, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DERMATOLOGY MEDICAL GROUP OF SAN FRANCISCO, INC

Practice address

490 Post St
Suite 700
San Francisco, CA 94102-1401

Phone

(415) 362-2238

Fax

(415) 362-7745

NPI assigned

Dec 30, 2005

Last updated

Sep 3, 2010By 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

Irene V Tam

Title

Office Manager

Phone

(415) 362-2238

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 9

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.

• Monica Mehrali Dahlem, MD

  • Specialist
  • San Francisco, CA
  • NPI 1821175878
  Medicare reassignment Care Compare group NPD
• Seth Lawrence Matarasso, MD

  • Specialist
  • San Francisco, CA
  • NPI 1992882948
  Medicare reassignment Care Compare group NPD
• Margaret C Scully, MD

  • Specialist
  • San Francisco, CA
  • NPI 1528145570
  Medicare reassignment Care Compare group NPD
• Holly Louise Christman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sausalito, CA
  • NPI 1275567323

  Dermatology

  Medicare reassignment NPD
• Robert P Herwick Jr., MD

  • Specialist
  • San Francisco, CA
  • NPI 1437236452
  Medicare reassignment NPD
• Marie H Jhin, M.D.

  • Specialist
  • San Carlos, CA
  • NPI 1104878321
  Medicare reassignment NPD
• Caroline Lee Berman

  • Dermatology Physician
  • Slidell, LA
  • NPI 1124413141

  CA

  Medicare reassignment NPD
• Tess Kathryn Rubenstein, ANP, GNP

  • Adult Health Nurse Practitioner
  • San Francisco, CA
  • NPI 1609208446
  NPD
• Edward Kenji Hadeler, MD

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1528708047
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1316924244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "SUITE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-362-2238",
            "fax_number": "415-362-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "SUITE 700",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-362-2238",
            "fax_number": "415-362-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY MEDICAL GROUP OF SAN FRANCISCO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-362-2238"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poppaea Dere, MA., LMFT
• Madeline Rose Derentz
• Kimberly Derkach, PA-C
• Dace Derkina, OTR/L
• Dermatology Center of San Francisco a Medical Corporation
• Dermatology Medical Group of SF
• Dermflo PLLC
• Lynn Teeple Derocco, RN
• Andrea Derochi, MSW
• Stacy Marie Derosa, R.D.

• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.