Amin Esfahani M.D. Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AMIN ESFAHANI M.D. CORPORATION

Doing business as

Central Valley Skin Specialists

Practice address

1390 W H St Ste a
Oakdale, CA 95361-3529

Phone

(209) 755-7546

Fax

(209) 444-6634

NPI assigned

Oct 2, 2024

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amin Esfahani, MDNPI 1407261217

Title

Owner

Phone

(646) 306-6613

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Valley Skin Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amin Esfahani, M.D.

  • Dermatology Physician
  • Oakdale, CA
  • NPI 1407261217
  Medicare reassignment Care Compare group NPD Authorized official
• Azsha Marie Samando, FNP-C/BC

  • Nurse Practitioner
  • Ripon, CA
  • NPI 1922992262
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1689492209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GREWAL PKWY APT 533",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568018",
            "telephone_number": "646-306-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W H ST STE A",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613529",
            "telephone_number": "209-755-7546",
            "fax_number": "209-444-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Melrose Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505581",
            "country_code": "US",
            "telephone_number": "209-755-7546",
            "fax_number": "209-444-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMIN ESFAHANI M.D. CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "ESFAHANI",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-306-6613",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A172964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Skin Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Valley Skin Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.