Zand Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A97783 Issued in CA

Legal business name

ZAND DERMATOLOGY INC

Practice address

655 Redwood Hwy Frontage Rd Ste 246
Mill Valley, CA 94941-3055

Phone

(415) 301-5000

Fax

(844) 719-5148

NPI assigned

Nov 15, 2017

Last updated

Jul 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucretia Ann Lewitt

Title

Office Manager

Phone

(415) 925-0550

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16905/brand/1/csg/1/fhir/r4

Practitioners 7

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.

• Katherine Macauley Ligtenberg Given, MD, PHD

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1124476296
  Medicare reassignment Care Compare group NPD
• Paula Zand

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1679963490
  Medicare reassignment Care Compare group NPD
• Sarvenaz Zand, M.D.

  • Dermatology Physician
  • Mill Valley, CA
  • NPI 1235216607
  Medicare reassignment Care Compare group NPD
• Kimberly Hanf

  • Family Nurse Practitioner
  • Greenbrae, CA
  • NPI 1316534415
  Medicare reassignment NPD
• Alexa Harris

  • Family Nurse Practitioner
  • Mill Valley, CA
  • NPI 1033004585
  Medicare reassignment NPD
• Ankit Agarwal, M.D.

  • Radiation Oncology Physician
  • San Antonio, TX
  • NPI 1629430376

  CA

  Medicare reassignment NPD
• Alexis Lillian Sherer, PA-C

  • Medical Physician Assistant
  • Mill Valley, CA
  • NPI 1720610322
  Medicare reassignment

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1548773286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 246",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413055",
            "telephone_number": "415-301-5000",
            "fax_number": "844-719-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 246",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413055",
            "telephone_number": "415-301-5000",
            "fax_number": "844-719-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAND DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "LEWITT",
        "authorized_official_first_name": "LUCRETIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-925-0550"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A97783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lal Kaye Yilmaz-Gonzalez, M.D.
• Chelsea Anne Young, MD
• Juinchen Preston Young, PHARMD
• Ewa Zaborowski, DPT
• David Zakim, M.D.
• Sarvenaz Zand, M.D.
• Anne Zhuang, M.D.

• Dermatology Physician in Mill Valley, CA
• Providers in Mill Valley, 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 9, 2020; 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.