CT Dermatology & Associates, a Professional Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G38005 Issued in CA

Legal business name

CT DERMATOLOGY & ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION

Practice address

15336 Devonshire St. #1
Mission Hills, CA 91345-2766

Phone

(818) 894-5616

Fax

(818) 893-4872

NPI assigned

Oct 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bernardo A. Marcos, M.D.

Title

Medical Director

Phone

(818) 894-5616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1700138906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST. #1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616",
            "fax_number": "818-893-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST. #1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616",
            "fax_number": "818-893-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT DERMATOLOGY & ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "MARCOS",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-894-5616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G38005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina Cos
• Nina D Cote, MD
• Anna Marie Cova, HAD
• Elizabeth Cozad
• Timothy E Cruz, MD
• Jacob Cuevas, PA-C
• Athena D Cummings, MFTI
• Bruce W. Cummings, D.O.
• Hilary Curwen, AMFT
• Dorota Cymerska, OTR/L

• Dermatology Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.