Organization Active NPI

Rachael Cayce, M.D. Inc., a Professional Corporation

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1417363391
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A127822 Issued in CA
Legal business name
RACHAEL CAYCE, M.D. INC., A PROFESSIONAL CORPORATION
Practice address
1127 Wilshire Blvd Ste 909
Los Angeles, CA 90017-3910
Phone
(214) 278-0021
Fax
(214) 278-0973
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2019

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

Authorized official

Name
Rachael Lynn Cayce, M.D.
Title
President
Phone
(214) 499-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A127822 CA Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 909
Los Angeles, CA 90017-3910

Mailing address

1127 Wilshire Blvd Ste 909
Los Angeles, CA 90017-3910
Phone (213) 278-0021

Other practice location 1

1901 N Oxford Ave
Los Angeles, CA 90027-1619
Phone (214) 499-8343

Other practice location 2

1901 N Oxford Ave
Los Angeles, CA 90027-1619
Phone (214) 499-8343

Other practice location 3

1127 Wilshire Blvd Ste 909
Los Angeles, CA 90017-3910
Phone (213) 278-0021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dtladerm.com

National Provider Directory

National Provider Directory

Locations

1127 Wilshire Blvd
Ste 909
Los Angeles, CA 90017
Phone (213) 320-3200

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570233600000",
    "number": "1417363391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 909",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173910",
            "telephone_number": "213-278-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 909",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173910",
            "telephone_number": "214-278-0021",
            "fax_number": "214-278-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Oxford Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900271619",
            "country_code": "US",
            "telephone_number": "214-499-8343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N Oxford Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900271619",
            "country_code": "US",
            "telephone_number": "214-499-8343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1127 Wilshire Blvd Ste 909",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900173910",
            "country_code": "US",
            "telephone_number": "213-278-0021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RACHAEL CAYCE, M.D. INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2019-10-05",
        "status": "A",
        "authorized_official_last_name": "CAYCE",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-499-8343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A127822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dtladerm.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1127 Wilshire Blvd Ste 600",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900173907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; 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.