NPIMap

Organization Active NPI

Good Derm, Inc

Doing business as Good Dermatology

  • Dermatology Physician
  • Torrance, CA
National Provider Identifier
1407474273
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GOOD DERM, INC
Doing business as
Good Dermatology
Practice address
3640 Lomita Blvd Ste 301
Torrance, CA 90505-3956
Phone
(310) 405-0693
Fax
(310) 356-9126
NPI assigned
Jul 8, 2020
Last updated
Jan 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. Consuelo Veronica David, MDNPI 1689963340
Title
President
Phone
(301) 655-8058

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3640 Lomita Blvd Ste 301
Torrance, CA 90505-3956

Mailing address

3640 Lomita Blvd Ste 301
Torrance, CA 90505-3956
Phone (310) 405-0693

Other names 1

  • Good Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200902002560 CA Part B Supplier - Clinic/Group Practice 4789001983 Receives reassigned benefits from 5 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBCCD

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1407474273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 301",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053956",
            "telephone_number": "310-405-0693",
            "fax_number": "310-356-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 301",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053956",
            "telephone_number": "310-405-0693",
            "fax_number": "310-356-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD DERM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "CONSUELO",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-655-8058",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Good Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.