Active NPI
Jayden Makana Mendoza Galamgam
- Dermatology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A179216
- Practice address
- 10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593 - Phone
- (310) 286-0122
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A179216 | CA | Primary |
Addresses
Primary practice location
10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
757 Westwood Plaza, Dermatology
Los Angeles, CA 90095-7419
Phone (323) 868-6505
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Suite 216
Los Angeles, CA 90095-0001
Phone (310) 206-8662
200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 825-6911
2001 Santa Monica Blvd
Suite 1070
Santa Monica, CA 90404-2202
Phone (310) 315-7900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 131 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Dermatology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| UCLA Medical Group | Dermatology | Past | Accepting new patients |
Locations
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510
10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122
892 Aerovista Pl
Ste 240
San Luis Obispo, CA 93401
Phone (805) 541-8252
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- mgalamgam763487@direct.ochin.org
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.
-
dba UCLA Dept of Dermatology
- Dermatology Physician
- Los Angeles, CA
- NPI 1568431310
-
dba UCLA Dept of Medicine
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
dba UCLA Dept of Medicine
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1609336692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10250 SANTA MONICA BLVD STE 2440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900676593",
"telephone_number": "310-286-0122"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plaza, Dermatology",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900957419",
"country_code": "US",
"telephone_number": "323-868-6505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALAMGAM",
"first_name": "JAYDEN",
"middle_name": "MAKANA MENDOZA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A179216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.