NPIMap

Organization Active NPI

Don Mehrabi MD a Professional Medical Corporation

Doing business as BHSkin Dermatology

  • Dermatology Physician
  • Glendale, CA
National Provider Identifier
1538350186
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A84588 Issued in CA
Legal business name
DON MEHRABI MD A PROFESSIONAL MEDICAL CORPORATION
Doing business as
BHSkin Dermatology
Practice address
1505 Wilson Ter Ste 240
Glendale, CA 91206
Phone
(310) 205-3555
NPI assigned
Aug 8, 2007
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Dr. Donny Mehrabi, M.D.NPI 1356454557
Title
President
Phone
(310) 205-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A84588 CA Primary

Addresses

Primary practice location

1505 Wilson Ter Ste 240
Glendale, CA 91206

Mailing address

1112 Montana Ave Ste 912
Santa Monica, CA 90403-1652
Phone (310) 205-3555

Other practice location 1

9735 Wilshire Blvd
Suite 421
Beverly Hills, CA 90212-2107
Phone (310) 205-3555

Other practice location 2

16030 Ventura Blvd Ste 140
Encino, CA 91436-4453
Phone (310) 205-3555

Other names 1

  • BHSkin Dermatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000793 CA Part B Supplier - Clinic/Group Practice 8123104395 Receives reassigned benefits from 6 practitioners
Practice locations: Encino, CA; Glendale, CA

National Provider Directory

National Provider Directory

Locations

1505 Wilson Ter
Ste 240
Glendale, CA 91206
Phone (310) 205-3555

1112 Montana Ave
Ste 912
Santa Monica, CA 90403
Phone (310) 205-3555

212 26th St
Santa Monica, CA 90402
Phone (310) 848-4604

Practitioners & affiliated clinicians

Practitioners 11

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1538350186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE STE 912",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031652",
            "telephone_number": "310-205-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "310-205-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9735 Wilshire Blvd",
            "address_2": "Suite 421",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902122107",
            "country_code": "US",
            "telephone_number": "310-205-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16030 Ventura Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364453",
            "country_code": "US",
            "telephone_number": "310-205-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DON MEHRABI MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "MEHRABI",
        "authorized_official_first_name": "DONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-205-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A84588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHSkin Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.