NPIMap

Organization Active NPI

Dermatology Affiliates Medical Group a Professional Corporation

  • Specialist
  • Modesto, CA
National Provider Identifier
1558364869
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A19758 Issued in CA
Legal business name
DERMATOLOGY AFFILIATES MEDICAL GROUP A PROFESSIONAL CORPORATION
Practice address
1324 Nelson Ave
Ste B
Modesto, CA 95350-5341
Phone
(209) 524-9481
Fax
(209) 524-9486
NPI assigned
May 31, 2005
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Catherine A. Biren, M.D.NPI 1124021035
Title
President
Phone
(209) 524-9481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A19758 CA Primary

Addresses

Primary practice location

1324 Nelson Ave
Ste B
Modesto, CA 95350-5341

Mailing address

1324 Nelson Ave
Ste B
Modesto, CA 95350-5341
Phone (209) 524-9481

National Provider Directory

National Provider Directory

Locations

1400 Florida Ave
Ste 210
Modesto, CA 95350

Practitioners & affiliated clinicians

Practitioners 10

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1558364869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 NELSON AVE",
            "address_2": "STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505341",
            "telephone_number": "209-524-9481",
            "fax_number": "209-524-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 NELSON AVE",
            "address_2": "STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505341",
            "telephone_number": "209-524-9481",
            "fax_number": "209-524-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AFFILIATES MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "BIREN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-524-9481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A19758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.