Madkan Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MADKAN DERMATOLOGY, PC

Practice address

150 N Robertson Blvd Ste 304
Beverly Hills, CA 90211-2145

Phone

(310) 453-3101

Fax

(310) 453-3104

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Corey Scheele

Title

Office Manager

Phone

(404) 931-0604

Specialties & licenses 1

Addresses

Other names 1

• Mosaic Dermatology Doing business as

Practitioners 1

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

• Gail Ellen Drayton, MD

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1457385304
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497278618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-453-3101",
            "fax_number": "310-453-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-453-3101",
            "fax_number": "310-453-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Wilshire Blvd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035668",
            "country_code": "US",
            "telephone_number": "310-453-3101",
            "fax_number": "310-453-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADKAN DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "SCHEELE",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-931-0604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kourosh Maddahi, DDS
• Tiffany Maddahi
• Ethan Sean Madison, DDS
• Marjan Smith Madison, PSY.D.
• Miles Madison, DDS
• Peter Nicholson Maduro, J.D., PSY.D.
• Mafl Medical Inc a Professional Corporation
• Maggie a Carroll MFT PHD
• Magma Care
• David Paul Magner, M.D.

• Dermatology Physician in Beverly Hills, CA
• Providers in Beverly 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.