Organization Active NPI

Doctors of Dermatology Inc

  • Dermatology Physician
  • Santa Clarita, CA
National Provider Identifier
1659589844
Registry record updated Feb 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A8307 Issued in CA
Legal business name
DOCTORS OF DERMATOLOGY INC
Doing business as
MY SKIN DERMATOLOGY
Practice address
27141 Hidaway Ave
Suite 104
Santa Clarita, CA 91351-4131
Phone
(661) 299-6900
Fax
(661) 299-1300
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2011

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

Authorized official

Name
Aram H. Kechichian, D.O.NPI 1841241486
Title
President
Phone
(661) 299-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 20A8307 CA Primary

Addresses

Primary practice location

27141 Hidaway Ave
Suite 104
Santa Clarita, CA 91351-4131

Mailing address

27141 Hidaway Ave
Suite 104
Santa Clarita, CA 91351-4131
Phone (661) 299-6900

Other names 1

  • MY SKIN DERMATOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090212000003 CA Part B Supplier - Clinic/Group Practice 6406911163 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1098338My Skin Dermatology27141 Hidaway Ave Ste 104, Santa Clarita, CA 91351ComplianceJun 23, 2027

National Provider Directory

National Provider Directory

Locations

38460 5th St W
Ste G
Palmdale, CA 93551
Phone (661) 299-6900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298678400000",
    "number": "1659589844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 104",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-299-6900",
            "fax_number": "661-299-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "address_2": "SUITE 104",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-299-6900",
            "fax_number": "661-299-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OF DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2011-02-26",
        "status": "A",
        "authorized_official_last_name": "KECHICHIAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-299-6900",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A8307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY SKIN DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.