Organization Active NPI

H Dermatology PC

  • Dermatology Physician
  • Cerritos, CA
National Provider Identifier
1477303824
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
H DERMATOLOGY PC
Practice address
11900 South St Ste 118
Cerritos, CA 90703-6800
Phone
(562) 800-3072
Fax
(760) 688-0950
NPI assigned
Mar 26, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Timothy Almazan, MDNPI 1407145931
Title
Owner
Phone
(562) 246-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

11900 South St Ste 118
Cerritos, CA 90703-6800

Mailing address

11900 South St Ste 118
Cerritos, CA 90703-6800
Phone (562) 800-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240814002412 CA Part B Supplier - Clinic/Group Practice 5395283915 Receives reassigned benefits from 1 practitioner
Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory

Locations

11900 South St
Ste 118
Cerritos, CA 90703
Phone (562) 246-6222

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1477303824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 SOUTH ST STE 118",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036800",
            "telephone_number": "562-800-3072",
            "fax_number": "760-688-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SOUTH ST STE 118",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036800",
            "telephone_number": "562-800-3072",
            "fax_number": "760-688-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "ALMAZAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-246-6222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.