Organization Active NPI

Vertex Dermatology Partners, a Professional Medical Corporation

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1639004369
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VERTEX DERMATOLOGY PARTNERS, A PROFESSIONAL MEDICAL CORPORATION
Practice address
10884 Santa Monica Blvd Ste 402
Los Angeles, CA 90025-7639
Phone
(661) 425-0102
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Daniel Taheri
Title
Ceo
Phone
(310) 276-3560

Specialties & licenses 1

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

Addresses

Primary practice location

10884 Santa Monica Blvd Ste 402
Los Angeles, CA 90025-7639

Mailing address

10884 Santa Monica Blvd Ste 402
Los Angeles, CA 90025-7639
Phone (661) 425-0102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1639004369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10884 SANTA MONICA BLVD STE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257639",
            "telephone_number": "661-425-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10884 SANTA MONICA BLVD STE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257639",
            "telephone_number": "661-425-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTEX DERMATOLOGY PARTNERS, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-276-3560"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "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 Jun 15, 2026; 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.