Dermatology Surgical-Medical Clinics Santa Clarita Valley Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C031243 Issued in CA

Legal business name

DERMATOLOGY SURGICAL-MEDICAL CLINICS SANTA CLARITA VALLEY INC.

Practice address

23861 McBean Pkwy
Suite D6
Valencia, CA 91355-2058

Phone

(661) 259-7333

Fax

(661) 259-6125

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Bradford Klein, M.DNPI 1285732388

Title

Owner

Phone

(661) 259-7333

Specialties & licenses 5

Addresses

Other identifiers 1

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 1

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

• Gary Bradford Klein, M.D.

  • Dermatology Physician
  • Valencia, CA
  • NPI 1285732388
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1396941290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY",
            "address_2": "SUITE D6",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552058",
            "telephone_number": "661-259-7333",
            "fax_number": "661-259-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY",
            "address_2": "SUITE D6",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552058",
            "telephone_number": "661-259-7333",
            "fax_number": "661-259-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SURGICAL-MEDICAL CLINICS SANTA CLARITA VALLEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-259-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C031243",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "C031243",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "C031243",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "C031243",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "C031243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C031243",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tibor Deme
• Daniel Deng
• Dennis Patrick Lewis,MD,
• Emily Rose Dennis, M.A., BCBA
• Lisa Marie Depiro, M.A., B.C.B.A.
• Harout Dermendjian, M.D.
• Raj Desai, MD
• Laura Desesa, CLD
• William Thomas Deters
• Sylvie Deutsch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.