Active NPI
Dermatology Associates of Southern California Inc
- Procedural Dermatology Physician
- Long Beach, CA
National Provider Identifier
1376769265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- A86029
- Legal business name
- DERMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA INC
- Practice address
- 917 Pine Ave
Long Beach, CA 90813-4325 - Phone
- (562) 590-9700
- Fax
- (560) 590-5583
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sharam Yashar, MD
- Title
- MGR
- Phone
- (562) 590-9700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A86029 | CA | |
| Procedural Dermatology Physician | 207NS0135X | A86029 | CA | Primary |
Addresses
Primary practice location
917 Pine Ave
Long Beach, CA 90813-4325
Mailing address
917 Pine Ave
Long Beach, CA 90813-4325
Phone (562) 590-9700
National Provider Directory
National Provider Directory- Tax ID family
- Dermatology Associates of Southern Calif
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dermatology Physician
- Signal Hill, CA
- NPI 1104991603
Locations
917 Pine Ave
Long Beach, CA 90813
Phone (562) 216-8841
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Signal Hill, CA
- NPI 1245264910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1376769265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 PINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134325",
"telephone_number": "562-590-9700",
"fax_number": "560-590-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 PINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908134325",
"telephone_number": "562-590-9700",
"fax_number": "560-590-5583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "YASHAR",
"authorized_official_first_name": "SHARAM",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "562-590-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A86029",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A86029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.