University Dermatopathology Services Inc

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

A73000 Issued in CA

Legal business name

UNIVERSITY DERMATOPATHOLOGY SERVICES INC

Practice address

2220 N Screenland Dr Ste 101
Burbank, CA 91505-1137

Phone

(954) 998-0976

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Nancy Seguin

Title

VP of Revenue Cycle Management

Phone

(954) 998-0976

Specialties & licenses 1

Addresses

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

Locations

Practitioners 14

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

• Michael Greas

  • Anatomic Pathology Physician
  • Loma Linda, CA
  • NPI 1982059168
  NPD
• Lily Adelzadeh, MD

  • Dermatology Physician
  • Pleasanton, CA
  • NPI 1265852180
  NPD (past)
• Stefanie Altmann, DO

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1912494188
  NPD (past)
• Nancy Cote, N.P

  • Adult Health Nurse Practitioner
  • Roseville, CA
  • NPI 1568401735
  NPD (past)
• Justin Christopher Kerstetter, M.D.

  • Dermatopathology (Pathology) Physician
  • Loma Linda, CA
  • NPI 1629241054
  NPD (past)
• Alexandria Marie Leduc, MD

  • MOHS-Micrographic Surgery Physician
  • Placerville, CA
  • NPI 1477180982
  NPD (past)
• Aleda A. Longwell, MD

  • Dermatology Physician
  • Danville, CA
  • NPI 1093960643
  NPD (past)
• Shanice Alyssa McKenzie, MD

  • Student in an Organized Health Care Education/Training Program
  • Sylmar, CA
  • NPI 1548899297
  NPD (past)
• Malcolm Nehemiah Pyles, MD

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1023570041
  NPD (past)
• Jonathan W Rick, MD

  • Dermatology Physician
  • Placerville, CA
  • NPI 1710440169
  NPD (past)
• Payam Saadat, MD

  • Dermatology Physician
  • Burbank, CA
  • NPI 1740487925
  NPD (past)
• Shareefa Saleh, PA

  • Physician Assistant
  • Walnut Creek, CA
  • NPI 1255929576
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1376062141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847258",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900843565",
            "telephone_number": "650-815-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N SCREENLAND DR STE 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051137",
            "telephone_number": "954-998-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 W Magnolia Blvd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915053051",
            "country_code": "US",
            "telephone_number": "323-935-8800 x105",
            "fax_number": "323-935-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY DERMATOPATHOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SEGUIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "954-998-0976"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A73000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatopathology (Pathology) Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Dermatopathology (Pathology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.