NPIMap

Organization Active NPI

Skin Cancer and Reconstructive Surgery Specialists of Beverly Hills

  • Dermatology Physician
  • Palmdale, CA
National Provider Identifier
1366511008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALISTS OF BEVERLY HILLS
Practice address
1529 E Palmdale Blvd
Ste 207
Palmdale, CA 93550-2034
Phone
(661) 267-1900
Fax
(661) 267-0700
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neal M Ammar, M.D.
Title
Operator
Phone
(310) 273-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1529 E Palmdale Blvd
Ste 207
Palmdale, CA 93550-2034

Mailing address

1171 S Robertson Blvd
Ste 229
Los Angeles, CA 90035-1403
Phone (310) 273-8885

National Provider Directory

National Provider Directory
Tax ID family
Skin Cancer and Reconstructive Surgery Specialist of Beverly Hills3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366511008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD",
            "address_2": "STE 229",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "310-273-8885",
            "fax_number": "310-273-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 E PALMDALE BLVD",
            "address_2": "STE 207",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502034",
            "telephone_number": "661-267-1900",
            "fax_number": "661-267-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALISTS OF BEVERLY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMMAR",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "310-273-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.