Carolyn Kassabian, MD Inc a Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A80284 Issued in CA

Legal business name

CAROLYN KASSABIAN, MD INC A PROFESSIONAL CORPORATION

Practice address

11550 Indian Hills Rd
Suite 261
Mission Hills, CA 91345-1200

Phone

(818) 838-6070

Fax

(818) 837-6832

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn M Kassabian, M.D.NPI 1851335152

Title

President

Phone

(818) 838-6070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn M Kassabian, M.D.

  • Dermatology Physician
  • Mission Hills, CA
  • NPI 1851335152
  Medicare reassignment NPD Authorized official
• Chloe Anne Huggins, PA-C

  • Physician Assistant
  • Culver City, CA
  • NPI 1306445101
  Medicare reassignment
• Samantha Zarling, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1841869617
  Medicare reassignment

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1467555326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE 305",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-838-6070",
            "fax_number": "818-837-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 261",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-838-6070",
            "fax_number": "818-837-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN KASSABIAN, MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "KASSABIAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-838-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A80284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica Caro, ATC
• Taylor Mitsuko Mayeda Carranza
• Raylean Loftus Carrle, PT
• Nicholas Giovanni Cascelli, MS, ATC
• Liliana Castelblanco, M.D.
• James Steven Castellanos, AMFT

• Dermatology Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.