Butani Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BUTANI DERMATOLOGY INC

Practice address

170 S Main St
Suite 200
Orange, CA 92868-2801

Phone

(213) 620-7600

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Anjali Butani, M.D.

Title

President

Phone

(213) 620-7600

Specialties & licenses 6

Addresses

Practitioners 2

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

• Poonam Nina Banerjee, PHD

  • Psychologist
  • Yorba Linda, CA
  • NPI 1104143197
  NPD (past)
• Neil P Butani, MD

  • Interventional Pain Medicine Physician
  • Tustin, CA
  • NPI 1518084854
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1568699106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S GRAND AVE APT 2403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123047",
            "telephone_number": "213-620-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682801",
            "telephone_number": "213-620-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTANI DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "BUTANI",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-620-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Bustos
• Julia Sandra Bustos
• Rosario Bustos
• Victoria Bustos
• Yeraldet Bustos, M.S. PPS
• Butani Pain Clinic Inc
• Brooke Ashlyn Butler
• Chante Butler
• Jennifer R Butler, MD
• John a Butler, MD

• Dermatology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.