Dermatology & Cosmetic Care, a Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A73488 Issued in CA

Legal business name

DERMATOLOGY & COSMETIC CARE, A MEDICAL CORPORATION

Practice address

425 Haaland Dr.
Suite #204
Thousand Oaks, CA 91361

Phone

(805) 497-8080

Fax

(805) 497-8806

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Brian Rackohn

Title

Business Manager

Phone

(805) 497-8080

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1366629800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR.",
            "address_2": "SUITE # 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-8080",
            "fax_number": "805-497-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR.",
            "address_2": "SUITE #204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-8080",
            "fax_number": "805-497-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & COSMETIC CARE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "RACKOHN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "805-497-8080"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A73488",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A73488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Ann Delvecchio, APRN
• Alexis Demangelaere, AMFT
• Dennis M Arutian DDS Inc
• Michael Deocales, OT
• Aleida Deraad
• Nune Dermenjian, MD
• Kumar Subodh Desai, M.D.
• Sanjani Desai, MD
• Sandra A Desgrey, FNP
• Joseph Detweiler, MD

• Medical Specialty Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.