Organization Active NPI

West Hills Dermatology Group a Medical Corporation

  • Procedural Dermatology Physician
  • West Hills, CA
National Provider Identifier
1487707097
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A55703 Issued in CA
Legal business name
WEST HILLS DERMATOLOGY GROUP A MEDICAL CORPORATION
Practice address
7230 Medical Center Dr Ste 404
West Hills, CA 91307-4016
Phone
(818) 592-6005
Fax
(818) 592-6088
NPI assigned
Jan 18, 2007
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Mehran Karimpour
Title
Authorized Official/Office Admin
Phone
(818) 592-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A55703 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr Ste 404
West Hills, CA 91307-4016

Mailing address

7230 Medical Center Dr Ste 404
West Hills, CA 91307-4016
Phone (818) 592-6005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000975 CA Part B Supplier - Clinic/Group Practice 6507768801 Receives reassigned benefits from 6 practitioners
Practice locations: West Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0971208West Hills Dermatology Group7230 Medical Center Dr, Ste 404, West Hills, CA 91307ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

7230 Medical Center Dr
Ste 404
West Hills, CA 91307
Phone (818) 346-8118

7320 Woodlake Ave
West Hills, CA 91307
Phone (818) 226-6811

7320 Woodlake Ave
Ste 340
West Hills, CA 91307
Phone (818) 592-6005

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 6

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1487707097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074016",
            "telephone_number": "818-592-6005",
            "fax_number": "818-592-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074016",
            "telephone_number": "818-592-6005",
            "fax_number": "818-592-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HILLS DERMATOLOGY GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "KARIMPOUR",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OFFICE ADMIN",
        "authorized_official_telephone_number": "818-592-6005"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A55703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.