Vera Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

VERA DERMATOLOGY INC

Practice address

981 W Foothill Blvd
Claremont, CA 91711-3304

Phone

(909) 667-7769

Fax

(909) 667-7745

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Betty Song, MDNPI 1013367200

Title

Physician Founder

Phone

(909) 667-7769

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betty Sihui Song, MD

  • Dermatology Physician
  • Claremont, CA
  • NPI 1013367200

  Single Specialty

  Medicare reassignment NPD Authorized official
• Jessica D Fan, PA-C

  • Medical Physician Assistant
  • Claremont, CA
  • NPI 1982153292
  NPD
• Xinyuan Hu, PA

  • Physician Assistant
  • City of Industry, CA
  • NPI 1508522426

  Dermatology

  NPD (past)
• Stanley I Kim, MD

  • Hematology & Oncology Physician
  • Maywood, IL
  • NPI 1306940705
  NPD (past)

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1386397917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113304",
            "telephone_number": "909-667-7769",
            "fax_number": "909-667-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113304",
            "telephone_number": "909-667-7769",
            "fax_number": "909-667-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PHYSICIAN FOUNDER",
        "authorized_official_telephone_number": "909-667-7769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moises Vargas, MD
• Beth Ann Vawter, RN, FNP-C
• Valerie M Vega, SLP
• Molly Louise Veirs, LMFT
• Ana A. Vences, M.F.T.
• William Vigil Jr., LMT, MFT
• Katherine Anna Vilchez, LMFT
• Michaela Villaluz
• Emanuel Villarreal-Sandoval, LCSW
• Gregory J Vipond, M.D.

• Dermatology Physician in Claremont, CA
• Providers in Claremont, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.