Cal Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CAL DERMATOLOGY PC

Practice address

2323 De la Vina St Ste 101
Santa Barbara, CA 93105-3878

Phone

(773) 263-5929

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth Grossman, MDNPI 1366608994

Title

President

Phone

(805) 869-6544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Elizabeth Grossman

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1366608994
  Medicare reassignment NPD Authorized official
• Eric Grossman, MD

  • Pediatric Surgery Physician
  • Santa Barbara, CA
  • NPI 1356646590
  Medicare reassignment NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1366084584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053878",
            "telephone_number": "805-869-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053878",
            "telephone_number": "773-263-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-869-6544",
        "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": []
}

• John Caffaro, PHD
• Lisa Ann Marie Caffery, BA, RN, IBCLC
• Sierra Witnov Cagley, R.D.
• Kevin Edward Cahill, M.D.
• Donna Cairns
• April Leanne Calderon, LCSW
• Isaac Daniel Calderon
• Haley Colette Calderwood
• Amber Caldwell
• Joseph Ivins Caldwell Jr., BA

• Dermatology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.