Organization Active NPI

Nina Desai M.D., Inc.

  • Dermatology Physician
  • Manhattan Beach, CA
National Provider Identifier
1629692264
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NINA DESAI M.D., INC.
Practice address
1000 N Sepulveda Blvd Ste 250
Manhattan Beach, CA 90266-5975
Phone
(310) 944-0244
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Dr. Nina Desai, MD
Title
President/Owner
Phone
(310) 944-0244

Specialties & licenses 1

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

Addresses

Primary practice location

1000 N Sepulveda Blvd Ste 250
Manhattan Beach, CA 90266-5975

Mailing address

2009 Palm Ave
Manhattan Beach, CA 90266-2639
Phone (310) 944-0244

Other names 1

  • Pure Dermatology and Aesthetics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ninadesai.ema.md

National Provider Directory

National Provider Directory

Locations

1000 N Sepulveda Blvd
Ste 250
Manhattan Beach, CA 90266
Phone (310) 844-0828

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1629692264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 PALM AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662639",
            "telephone_number": "310-944-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SEPULVEDA BLVD STE 250",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665975",
            "telephone_number": "310-944-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA DESAI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-944-0244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ninadesai.ema.md",
            "affiliation": "N",
            "address_1": "1000 N Sepulveda Blvd Ste 250",
            "city": "Manhattan Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902665975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pure Dermatology and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.