Elissa Gropen Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ELISSA GROPEN DERMATOLOGY, INC.

Practice address

3576 Arlington Ave Ste 102
Riverside, CA 92506-3907

Phone

(951) 684-8397

Fax

(951) 684-2252

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Megan Nicole Munoz

Title

Office Manager

Phone

(951) 684-8397

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1720636277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063907",
            "telephone_number": "951-684-8397",
            "fax_number": "951-684-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063907",
            "telephone_number": "951-684-8397",
            "fax_number": "951-684-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA GROPEN DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-684-8397",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tedmen Elias, OT
• Elias,Elliott,Lampasi,Fehn, & Harris Adp
• Elias,Elliott,Lampasi,Fehn, & Harris Adp
• Connie Elick, MS RD
• Enzo Elisio
• Elissa Gropen MD
• Elite Bariatric Surgery & Wellness PC
• Elite Nutrition Services Inc.
• Zoan Elizalde-Mancenido
• Alva M Elizalde

• Dermatology Physician in Riverside, CA
• Providers in Riverside, 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 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.