Organization Active NPI

Tsippora Shainhouse MD Professional Corporation

Doing business as SkinSafe Dermatology and Skin Care

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1326681966
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TSIPPORA SHAINHOUSE MD PROFESSIONAL CORPORATION
Doing business as
SkinSafe Dermatology and Skin Care
Practice address
239 S la Cienega Blvd Ste 200
Beverly Hills, CA 90211-3319
Phone
(424) 302-0394
Fax
(424) 239-7050
NPI assigned
Oct 28, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Tsippora Shainhouse, MDNPI 1578896247
Title
Owner
Phone
(424) 302-0394

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

239 S la Cienega Blvd Ste 200
Beverly Hills, CA 90211-3319

Mailing address

414 S Las Palmas Ave
Los Angeles, CA 90020-4816
Phone (718) 510-2419

Other names 1

  • SkinSafe Dermatology and Skin Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210715004032 CA Part B Supplier - Clinic/Group Practice 3375945157 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

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": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1326681966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S LAS PALMAS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204816",
            "telephone_number": "718-510-2419",
            "fax_number": "424-239-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S LA CIENEGA BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113319",
            "telephone_number": "424-302-0394",
            "fax_number": "424-239-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSIPPORA SHAINHOUSE MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "SHAINHOUSE",
        "authorized_official_first_name": "TSIPPORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-302-0394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SkinSafe Dermatology and Skin Care",
            "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 Oct 28, 2019; 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.