Organization Active NPI

BH Dermatology Management Inc.

Doing business as Beverly Hills Dermatology Consultants

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1326072877
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BH DERMATOLOGY MANAGEMENT INC.
Doing business as
Beverly Hills Dermatology Consultants
Practice address
433 N Camden Dr
Suite 805
Beverly Hills, CA 90210-4409
Phone
(310) 550-7661
Fax
(310) 550-1920
NPI assigned
Jul 10, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Letantia Bussell, M.D.NPI 1437183068
Title
Acting Director
Phone
(310) 550-7661

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 NU Primary

Addresses

Primary practice location

433 N Camden Dr
Suite 805
Beverly Hills, CA 90210-4409

Mailing address

433 N Camden Dr
Suite 805
Beverly Hills, CA 90210-4409
Phone (310) 550-7661

Other names 1

  • Beverly Hills Dermatology Consultants Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000743 CA Part B Supplier - Clinic/Group Practice 7911891007 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0695168BH Dermatology Management, Inc.433 N Camden Dr Ste 805, Beverly Hills, CA 90210ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

433 N Camden Dr
Ste 805
Beverly Hills, CA 90210
Phone (310) 550-7661

Practitioners & affiliated clinicians

Practitioners 12

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1326072877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 805",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-550-7661",
            "fax_number": "310-550-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 805",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-550-7661",
            "fax_number": "310-550-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH DERMATOLOGY MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BUSSELL",
        "authorized_official_first_name": "LETANTIA",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "310-550-7661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Dermatology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.