Individual provider Active NPI

Patricia Cavender, MD

  • Dermatology Physician
  • Valencia, CA
National Provider Identifier
1487626867
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G52289 Issued in CA
Practice address
23803 McBean Pkwy
Valencia, CA 91355
Phone
(661) 481-2400
NPI assigned
Feb 1, 2006
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G52289 CA Primary

Addresses

Primary practice location

23803 McBean Pkwy
Valencia, CA 91355

Mailing address

PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559

Other practice location 1

50 Alessandro Pl
suite 130
Pasadena, CA 91105-3149
Phone (626) 737-0454

Other practice location 2

50 Alessandro Pl
suite 130
Pasadena, CA 91105-3149
Phone (626) 737-0454

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
I20111121000634 CA Practitioner - Dermatology 3577737949 Reassigns benefits to 1 organization
Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

289 W Huntington Dr
Suite 208
Arcadia, CA 91007-3495
Phone (626) 446-8809

4201 Torrance Blvd
Suite 640
Torrance, CA 90503-4524
Phone (310) 543-4444

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of skin lesions904
Skin biopsy327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G52289CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatology CurrentSince Feb 1, 2020 Accepting new patients
The Huntington Medical Foundation Dermatology Past Accepting new patients
Dignity Community Care Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
The Huntington Medical Foundation Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
David a. Voron, M.D., Inc. Dermatology Past Accepting new patients

Locations

289 W Huntington Dr
Ste 208
Arcadia, CA 91007
Phone (626) 446-8809

612 W Duarte Rd
Ste 205
Arcadia, CA 91007
Phone (626) 317-5136

1127 Wilshire Blvd
Ste 600
Los Angeles, CA 90017
Phone (213) 250-7735

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pcavender@csisouthca.emadirect.md
  • Direct secure messaging: pcavender964908@oc.providencedirect.org

Organizations & group practices 8

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1487626867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9602",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913469602",
            "telephone_number": "818-837-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23803 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-481-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Alessandro Pl",
            "address_2": "suite 130",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053149",
            "country_code": "US",
            "telephone_number": "626-737-0454",
            "fax_number": "626-564-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Alessandro Pl",
            "address_2": "suite 130",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053149",
            "country_code": "US",
            "telephone_number": "626-737-0454",
            "fax_number": "626-564-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVENDER",
        "first_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G52289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.