Southern Marin Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SOUTHERN MARIN DERMATOLOGY, INC.

Practice address

2330 Marinship Way
Suite 370
Sausalito, CA 94965-2853

Phone

(415) 887-9758

Fax

(415) 887-9763

NPI assigned

May 10, 2013

Last updated

May 10, 2013By 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. Ashley A Smith, M.D.NPI 1053579979

Title

President

Phone

(415) 887-9758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 10

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.

• Ashley Ann Smith, MD

  • Dermatology Physician
  • Sausalito, CA
  • NPI 1053579979
  Medicare reassignment Care Compare group NPD Authorized official
• Suzanne L Westphal, MD

  • Dermatology Physician
  • Sausalito, CA
  • NPI 1780676908
  Medicare reassignment Care Compare group NPD
• Ashley B Decker Jensen

  • Procedural Dermatology Physician
  • Marlton, NJ
  • NPI 1972861102

  CA

  Medicare reassignment Care Compare group NPD
• Elisabeth G Cain, PA-C

  • Physician Assistant
  • Sausalito, CA
  • NPI 1750701736
  Medicare reassignment Care Compare group
• Stephanie G Cullinane, PA C

  • Physician Assistant
  • Sausalito, CA
  • NPI 1093708901
  Medicare reassignment Care Compare group
• Julia C Parker, PA

  • Physician Assistant
  • Santa Barbara, CA
  • NPI 1235408352
  Medicare reassignment Care Compare group
• Sarah Tuttleton Arron, M.D., PH.D.

  • MOHS-Micrographic Surgery Physician
  • Burlingame, CA
  • NPI 1255463725
  Medicare reassignment NPD
• Holly Louise Christman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sausalito, CA
  • NPI 1275567323

  Dermatology

  Medicare reassignment NPD
• Shala Rahbar Fardin, MD

  • Dermatology Physician
  • Sausalito, CA
  • NPI 1720114432
  Medicare reassignment NPD
• Sara Marxmiller, NP

  • Adult Health Nurse Practitioner
  • San Francisco, CA
  • NPI 1871904326
  Medicare reassignment NPD

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1487090924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY",
            "address_2": "SUITE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652853",
            "telephone_number": "415-887-9758",
            "fax_number": "415-887-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY",
            "address_2": "SUITE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652853",
            "telephone_number": "415-887-9758",
            "fax_number": "415-887-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARIN DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-887-9758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Arciniegas Sheppard, D.C.
• Regina Shuflitowski, RN
• Ashley Ann Smith, MD
• Soluna Health,Inc.
• Daniel Jay Sonkin, PH.D.
• Deborah Ann Spake, LMFT
• Joel Evan Steiber, LAC
• Stephen Allison, M.D., a Professional Corporation
• Tatyana Stotskaya
• Jordan Suchon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.