Valley Dermatology and Skin Care, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A88950 Issued in CA

Legal business name

VALLEY DERMATOLOGY AND SKIN CARE, INC.

Practice address

16260 Ventura Blvd Ste 140
Encino, CA 91436-5103

Phone

(818) 528-2500

Fax

(818) 528-2505

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi Farshad Derambakhsh, M.D.NPI 1477503563

Title

President

Phone

(818) 528-2500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mehdi Farshad Derambakhsh, M.D.

  • MOHS-Micrographic Surgery Physician
  • Encino, CA
  • NPI 1477503563
  Authorized official Same address or phone

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427170984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 140",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365103",
            "telephone_number": "818-528-2500",
            "fax_number": "818-528-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 140",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365103",
            "telephone_number": "818-528-2500",
            "fax_number": "818-528-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DERMATOLOGY AND SKIN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERAMBAKHSH",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "FARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-528-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A88950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Sadon, a Licensed Clinical Social Worker & Associates Inc
• Malin Valine, LCSW
• Wendy M Vallejos Perez
• Valley Anesthesia and Ancillary Services, Inc.,
• Valley Counseling
• Valley Drug and Compounding
• Valley Eye Institute, Inc.
• Valley Foot and Ankle, Inc.
• Valley Hills Home Health Care, Inc
• Valley Home Health, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.