Jasmine Onyeka Obioha MD, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JASMINE ONYEKA OBIOHA MD, INC.

Doing business as

Boutik Dermatology by ObiohaMD

Practice address

8484 Wilshire Blvd Ste 620
Beverly Hills, CA 90211-3234

Phone

(424) 428-0910

Fax

(424) 428-0911

NPI assigned

Oct 10, 2022

Last updated

Dec 6, 2022By 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

Jasmine Onyeka Bowers Obioha, MDNPI 1174965016

Title

Practice Owner

Phone

(323) 217-4967

Specialties & licenses 1

Addresses

Other names 1

• Boutik Dermatology by ObiohaMD Doing business as

Locations

Practitioners 2

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.

• Jasmine Onyeka Bowers Obioha, MD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1174965016
  NPD Authorized official
• Michelle Park

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1013835057
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1548985740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 620",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113234",
            "telephone_number": "323-955-0919",
            "fax_number": "323-370-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 620",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113234",
            "telephone_number": "424-428-0910",
            "fax_number": "424-428-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE ONYEKA OBIOHA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "OBIOHA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "ONYEKA BOWERS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "323-217-4967",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boutik Dermatology by ObiohaMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boutik Dermatology by ObiohaMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• America Sommer Janssen, CERTIFICATION
• Jacqueline Marie Jansz
• Janus Management Project
• Stephanie Jara, RDH
• Payam Jarrahnejad, MD
• Jason M. Cuellar, M.D., Inc.
• Jason Snibbe, MD, Professional Medical Corporation
• Jason V. Kboudi, DDS, Inc. (Beverly Hills Complete Dentistry)
• Michael Javaheri, M.D.
• Raha Javaherian

• 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 Dec 6, 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.