Delta Dermatology Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

G49164 Issued in CA

Legal business name

DELTA DERMATOLOGY MEDICAL GROUP

Practice address

310 N Prairie Ave
Suite 412
Inglewood, CA 90301

Phone

(310) 673-3582

Fax

(310) 677-5466

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Darlene D Sampson, MDNPI 1962593822

Title

Sole Proprietor

Phone

(310) 673-3582

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darlene Sampson, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1962593822
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1346307105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N PRAIRIE AVE",
            "address_2": "SUITE 412",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-673-3582",
            "fax_number": "310-677-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N PRAIRIE AVE",
            "address_2": "SUITE 412",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-673-3582",
            "fax_number": "310-677-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DERMATOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "310-673-3582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G49164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G491641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Dear, NP
• George Debbaneh, DDS
• Dee'S Group Home Inc
• Pooja K.R. Delk, MD
• Melissa Veronica Delpino
• Mary Catherine Dempsey
• Denise a. Albury M.D., Inc.
• John Dennem
• Talia Derogatis
• Destiny Home Health Services, Inc.

• Specialist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.