Individual provider Active NPI

Tsippora Shainhouse, MD

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1578896247
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A82036 Issued in CA
Practice address
239 S la Cienega Blvd Ste 200
Beverly Hills, CA 90211-3319
Phone
(424) 302-0394
Fax
(424) 239-7050
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A82036 CA
Dermatology Physician 207N00000X A82036 CA Primary

Addresses

Primary practice location

239 S la Cienega Blvd Ste 200
Beverly Hills, CA 90211-3319

Mailing address

414 S Las Palmas Ave
Los Angeles, CA 90020-4816
Phone (718) 510-2419

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@stayskinsafe.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100619000082 CA Practitioner - DermatologyPractitioner - Pediatric Medicine 9739219684 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pediatric Medicine
Education
University of Toronto, Faculty of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

239 S la Cienega Blvd
Suite 200
Beverly Hills, CA 90211-3319
Phone (424) 302-0394

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions126
Removal or shaving of skin growth1-10
Skin biopsy39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82036CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gennady Rubinstein MD Inc Dermatology CurrentSince Aug 23, 2012 Accepting new patients
Tsippora Shainhouse MD Professional Corporation Dermatology CurrentSince Apr 22, 2021 Accepting new patients

Locations

239 S La Cienega Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 659-9566

3959 Laurel Canyon Blvd
Ste F
Studio City, CA 91604
Phone (818) 505-9300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1578896247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S LAS PALMAS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204816",
            "telephone_number": "718-510-2419",
            "fax_number": "424-239-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S LA CIENEGA BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113319",
            "telephone_number": "424-302-0394",
            "fax_number": "424-239-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAINHOUSE",
        "first_name": "TSIPPORA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A82036",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A82036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@stayskinsafe.com",
            "affiliation": "N",
            "endpointDescription": "encrypted, HIPAA secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient communication, physician communication, pharmacy communication",
            "address_1": "239 S La Cienega Blvd Ste 200",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902113319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.