Fett Derm Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FETT DERM CORP

Practice address

11645 Wilshire Blvd Ste 1070
Los Angeles, CA 90025-6810

Phone

(310) 720-6646

NPI assigned

May 5, 2022

Organization subpart

No

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

Authorized official

Name

Sabrina FettNPI 1649923848

Title

President

Phone

(310) 720-6646

Specialties & licenses 1

Addresses

Other names 1

• Fett Derm LLC Former legal business name

Locations

Practitioners 2

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

• Sabrina Fett, CPE

  • Specialist
  • Los Angeles, CA
  • NPI 1649923848
  NPD Authorized official
• Stephanie Cano, L.E

  • Specialist
  • Los Angeles, CA
  • NPI 1497574586
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1508501305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 1070",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256810",
            "telephone_number": "310-720-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 1070",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256810",
            "telephone_number": "310-720-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETT DERM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FETT",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-720-6646"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fett Derm LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dannielle Emily Ferst
• Tanaz R. Ferzandi, M.D., M.A.
• Araksi Roxanna Fesilyan
• Ara Festekjian, MD
• Jaco Hagop Festekjian, MD
• Sabrina Fett, CPE
• Samantha Fett
• Presley R. Fettig, MA, MS
• Jacqueline Fetzner
• Bianca Simone Feuer, MA

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.