NPIMap

Organization Active NPI

Gabriele Aesthetics

  • Dermatology Physician
  • Pasadena, CA
National Provider Identifier
1669619532
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GABRIELE AESTHETICS
Doing business as
Pasadena Dermatology Medical Group
Practice address
473 N Fair Oaks Ave
Pasadena, CA 91103-3621
Phone
(626) 792-2378
Fax
(626) 792-2605
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Dr. Clayton A Varga, MD
Title
Ceo
Phone
(626) 696-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

473 N Fair Oaks Ave
Pasadena, CA 91103-3621

Mailing address

PO Box 515802
Los Angeles, CA 90051-3102
Phone (909) 493-3800

Other names 1

  • Pasadena Dermatology Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

12442 Limonite Ave
Unit 211
Eastvale, CA 91752
Phone (909) 236-7388

Practitioners & affiliated clinicians

Practitioners 9

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": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1669619532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515802",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513102",
            "telephone_number": "909-493-3800",
            "fax_number": "909-204-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033621",
            "telephone_number": "626-792-2378",
            "fax_number": "626-792-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELE AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-696-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Dermatology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pasadena Dermatology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.