Organization Active NPI

Caliber Dermatology, a Medical Corporation

  • Dermatology Physician
  • San Marino, CA
National Provider Identifier
1578097689
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CALIBER DERMATOLOGY, A MEDICAL CORPORATION
Practice address
2459 Huntington Dr
San Marino, CA 91108-2644
Phone
(626) 808-7081
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Nor Chiao, M.D.
Title
President
Phone
(626) 808-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2459 Huntington Dr
San Marino, CA 91108-2644

Mailing address

PO Box 80820
San Marino, CA 91118-8820

National Provider Directory

National Provider Directory

Locations

2459 Huntington Dr
San Marino, CA 91108
Phone (626) 808-7081

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1578097689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80820",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911188820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082644",
            "telephone_number": "626-808-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIBER DERMATOLOGY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "CHIAO",
        "authorized_official_first_name": "NOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-808-7081",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.