Dermking Institute

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

51510 Issued in CA

Legal business name

DERMKING INSTITUTE

Practice address

6200 Wilshire Blvd
Suite 805
Los Angeles, CA 90048-5801

Phone

(323) 938-0511

NPI assigned

Mar 21, 2017

Last updated

Mar 21, 2017By 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

Landon McCarrollNPI 1154761518

Title

President/Ceo

Phone

(310) 927-8097

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.

• Landon C. McCarroll, PA

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1154761518
  Authorized official Same address or phone

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1427589555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-938-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMKING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "MCCARROLL",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-927-8097"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Express, a Professional Medical Corporation
• Dermatology Medical Associates of Century City
• Dermatology Unlimited, a Professional Medical Corporation
• Anna Dermenchyan, PHD, RN
• Karapet Gary Dermendjian, M.D.
• Celia Lee Dermont, L.AC.
• Corry Derobertis, CRNA
• Adrineh - Derohanian, MSW
• Lorraine Derosa, APCC
• Tiffany Nicole Derosier

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.