Luminous Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A118101 Issued in CA

Legal business name

LUMINOUS DERMATOLOGY

Practice address

504 W Pueblo St Ste 102
Santa Barbara, CA 93105-6211

Phone

(805) 682-3329

NPI assigned

Aug 15, 2013

Organization subpart

No

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

Authorized official

Name

Bryan Gammon, MD

Title

Ceo

Phone

(805) 682-6455

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Luminous Dermatology

  • Clinical Medical Laboratory
  • Santa Barbara, CA
  • NPI 1427435304
  NPPES parent name

Practitioners 1

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

• William Kent Brokken, M.D.

  • Dermatopathology Physician
  • Santa Barbara, CA
  • NPI 1336140284
  NPD

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1609209576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W PUEBLO ST",
            "address_2": "SUITE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056211",
            "telephone_number": "805-682-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W PUEBLO ST STE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056211",
            "telephone_number": "805-682-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GAMMON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-682-6455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A118101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Luke
• Lukes Ultimate Comfort Shoes Inc.
• Mia E Lum, MA, MFT
• Ciara Lumaj, ND
• Luminous Dermatology
• Linda Luna-Aguas
• Joseph A. Luna, M.D.
• Maria Luna
• Else-Marie A Lundin, N.P.
• Leslie Pedersen Lundt, MD

• Dermatology Physician in Santa Barbara, CA
• Providers in Santa Barbara, 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 11, 2019; 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.