NPIMap

Organization Active NPI

American Skin and Cancer Center PC

  • Dermatology Physician
  • Fresno, CA
National Provider Identifier
1669612362
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07004000 Issued in NJ
Legal business name
AMERICAN SKIN AND CANCER CENTER PC
Practice address
7055 N Fresno St
Suite 310
Fresno, CA 93720-2957
Phone
(559) 446-1070
Fax
(559) 446-1646
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Ms. Zuleica Murillo
Title
Development
Phone
(559) 446-1070

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 25MA07004000 NJ Primary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

7055 N Fresno St
Suite 310
Fresno, CA 93720-2957

Mailing address

7055 N Fresno St
Suite 310
Fresno, CA 93720-2957
Phone (559) 446-1070

Other identifiers 1

IdentifierTypeStateIssuer
25MA07004000OtherNJMEDICAL LICENCE NUMBER

National Provider Directory

National Provider Directory

Locations

7055 N Fresno St
Ste 310
Fresno, CA 93720
Phone (559) 446-0285

Practitioners & affiliated clinicians

Practitioners 2

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": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1669612362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 N FRESNO ST",
            "address_2": "SUITE 310",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202957",
            "telephone_number": "559-446-1070",
            "fax_number": "559-446-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N FRESNO ST",
            "address_2": "SUITE 310",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202957",
            "telephone_number": "559-446-1070",
            "fax_number": "559-446-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SKIN AND CANCER CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "ZULEICA",
        "authorized_official_title_or_position": "DEVELOPMENT",
        "authorized_official_telephone_number": "559-446-1070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07004000",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NUMBER",
            "identifier": "25MA07004000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.