Individual provider Active NPI

Teo Soleymani, M.D

  • Dermatology Physician
  • Pasadena, CA
National Provider Identifier
1447679865
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A144007 Issued in CA
Practice address
50 Bellefontaine St Ste 202
Pasadena, CA 91105-3132
Phone
(626) 654-3376
NPI assigned
Apr 14, 2014
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A144007 CA Primary
Dermatopathology Physician 207ND0900X A144007 CA
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X A144007 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Surgical Oncology Physician 2086X0206X A144007 CA

Addresses

Primary practice location

50 Bellefontaine St Ste 202
Pasadena, CA 91105-3132

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8771

Other practice location 1

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5161

Other practice location 2

120 Bellefontaine St
Pasadena, CA 91105-3102
Phone (626) 654-3376

Other practice location 3

514 N Prospect Ave
Redondo Beach, CA 90277-3036
Phone (310) 937-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200529000971 CA Practitioner - DermatologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Surgical Oncology 2860813854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Plastic and Reconstructive Surgery, Surgical Oncology
Education
University of California, Irvine, California College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Dermatology and Mohs Surgery Specialists IncGroup PAC ID 0648638155, 2 clinicians

Practice addresses (Care Compare)

50 Bellefontaine St
Pasadena, CA 91105-3132
Phone (818) 636-9039

96 N Madison Ave
Pasadena, CA 91101-1740
Phone (626) 976-4439

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision374
Removal of tissue71
Removal of skin lesions1397
Removal of skin cancer990
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A144007CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Wound Care a Medical Corporation CurrentSince Jul 14, 2025 Accepting new patients
California Dermatology and Mohs Surgery Specialists Inc Dermatology CurrentSince Jun 1, 2023 Accepting new patients
CDMS Surgery Center Inc Current Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

120 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-5114

96 N Madison Ave
Pasadena, CA 91101
Phone (626) 376-4439

50 Bellefontaine St
Ste 202
Pasadena, CA 91105
Phone (626) 654-3376

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1447679865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8771",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST STE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-654-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-5161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Bellefontaine St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053102",
            "country_code": "US",
            "telephone_number": "626-654-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902773036",
            "country_code": "US",
            "telephone_number": "310-937-8555",
            "fax_number": "310-937-8556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLEYMANI",
        "first_name": "TEO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A144007",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A144007",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A144007",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A144007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.