Maven Dermatology Apc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MAVEN DERMATOLOGY APC

Practice address

3750 Convoy St Ste 155
San Diego, CA 92111-3739

Phone

(858) 736-9900

Fax

(858) 736-0661

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Jusleen Ahluwalia, MDNPI 1427443696

Title

Ceo

Phone

(858) 736-9900

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

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

• Jusleen Ahluwalia, M.D.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1427443696
  Medicare reassignment Care Compare group NPD Authorized official
• Erik Andrei Kumetz, M.D.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1154708840
  Medicare reassignment Care Compare group NPD
• Melissa Marie Gilbert, PA-C

  • Medical Physician Assistant
  • San Diego, CA
  • NPI 1760631170
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1366124539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 155",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113739",
            "telephone_number": "858-736-9900",
            "fax_number": "858-736-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 155",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113739",
            "telephone_number": "858-736-9900",
            "fax_number": "858-736-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVEN DERMATOLOGY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "AHLUWALIA",
        "authorized_official_first_name": "JUSLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-736-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A144826",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Kevin Maus, R.N.
• Timothy M Maus, M.D.
• Robert Edmund Mautte Jr.
• Darlene Mercy Mauze
• Meredith Mauze, LMFT
• Maven Partners, LLC (Superbloom Lactation)
• Maverick Physical Therapy P.C.
• Melissa Maves
• Jeffrey E Max, M.D.
• Rachel Max, MSW

• Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.