Center for Advanced Dermatology Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A90282 Issued in CA

Legal business name

CENTER FOR ADVANCED DERMATOLOGY INC.

Practice address

301 W Huntington Dr
Suite 419
Arcadia, CA 91007-3462

Phone

(626) 446-4663

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By 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

Dr. Shirley Y CHI, M.D.NPI 1902836992

Title

President

Phone

(312) 520-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Shirley Y CHI, M.D.

  • Dermatology Physician
  • Arcadia, CA
  • NPI 1902836992
  Medicare reassignment Care Compare group Authorized official
• Lily Chen Greenberg, MD

  • Dermatology Physician
  • South Pasadena, CA
  • NPI 1841859527
  Medicare reassignment Care Compare group NPD
• Phillip Howard Anderson Lee, M.D.

  • Dermatology Physician
  • Pasadena, CA
  • NPI 1578628731
  Medicare reassignment Care Compare group NPD
• Yen Tun Wang, M.D.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1013206945
  Medicare reassignment NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689875197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CROCUS ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734218",
            "telephone_number": "909-335-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "SUITE 419",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-446-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED DERMATOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-520-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A90282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Caulfield, MOT, OTR/L
• CCL Laboratories Inc
• Cedar Home Health,Inc.
• Bernardine Andrea Celoni, MD
• Delong Cen, PHARMD
• Timothy Gerard Centola, PT
• Jacqueline Cervantes Avila
• Michelle Marie Cesario
• Daniel Cha
• Denny Cha, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.