Organization Active NPI

Dermatology Associates of Southern California Inc

  • Procedural Dermatology Physician
  • Long Beach, CA
National Provider Identifier
1376769265
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A86029 Issued in CA
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

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Sharam Yashar, MDNPI 1245264910
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X A86029 CA
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Calif2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.