Individual provider Active NPI

Paul Steven Yamauchi, M.D., PHD

  • Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1720074537
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A53239 Issued in CA
Practice address
2730 Wilshire Blvd Ste 650
Santa Monica, CA 90403-4746
Phone
(310) 829-4104
Fax
(310) 829-4150
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A53239 CA Primary

Addresses

Primary practice location

2730 Wilshire Blvd Ste 650
Santa Monica, CA 90403-4746

Mailing address

2730 Wilshire Blvd Ste 650
Santa Monica, CA 90403-4746
Phone (310) 829-4104

Other identifiers 2

IdentifierTypeStateIssuer
WA53239DOtherCABILLING
WA53239AOtherCABILLING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000112 CA Practitioner - Dermatology 7911950118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Institute and Skin Care Center, Inc.Group PAC ID 6901825421, 3 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 1160W
Santa Monica, CA 90404-2120
Phone (310) 829-4104

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions785
Removal of skin cancer116
Removal of nail tissue1-10
Skin biopsy352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A53239CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Institute & Skin Care Center, Inc. Dermatology CurrentSince Jan 1, 2005 Accepting new patients
County of Los Angeles CurrentSince Feb 4, 2017 Accepting new patients
County of Los Angeles CurrentSince Feb 4, 2017 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2730 Wilshire Blvd
Ste 650
Santa Monica, CA 90403
Phone (310) 828-7378

2001 Santa Monica Blvd
Ste 1160W
Santa Monica, CA 90404
Phone (310) 828-2042

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1720074537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 650",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034746",
            "telephone_number": "310-829-4104",
            "fax_number": "310-829-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 650",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034746",
            "telephone_number": "310-829-4104",
            "fax_number": "310-829-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAUCHI",
        "first_name": "PAUL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A53239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING",
            "identifier": "WA53239D",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING",
            "identifier": "WA53239A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.