Dermatology Collective Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY COLLECTIVE INC

Practice address

552 W Foothill Blvd Ste 202
Glendora, CA 91741-2470

Phone

(818) 795-8252

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Christopher TomassianNPI 1871097550

Title

Owner

Phone

(626) 240-2020

Specialties & licenses 2

Addresses

Other names 1

• The Dermatology Collective Inc Other name

Electronic endpoints 1

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 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Tomassian, MD

  • Dermatology Physician
  • Glendora, CA
  • NPI 1871097550
  Medicare reassignment Care Compare group NPD Authorized official
• Bobak Hedayati, MD

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
  • NPI 1568090272
  Medicare reassignment Care Compare group NPD
• Virginia Alvarado Jones, MD

  • Dermatology Physician
  • Glendora, CA
  • NPI 1205412251
  Medicare reassignment Care Compare group NPD
• Mina Amin, MD

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1417451196
  Medicare reassignment NPD
• Marine Chilyan

  • Family Nurse Practitioner
  • North Hollywood, CA
  • NPI 1639959661
  Medicare reassignment NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1720723448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 W FOOTHILL BLVD STE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412470",
            "telephone_number": "626-240-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 W FOOTHILL BLVD STE 202",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412470",
            "telephone_number": "818-795-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY COLLECTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "TOMASSIAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-240-2020"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paulina@thiswon.com",
            "affiliation": "N",
            "address_1": "552 W Foothill Blvd Ste 202",
            "city": "Glendora",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917412470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Dermatology Collective Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonia Raine Dell'Aquila, RN, MSN,BSN
• Garabed Gary Demerjian, DDS
• Rachel-Marie Demerjian
• Sara Sorsby Dennis
• Dental Office of Joel Barett Henriod DDS Inc.
• Sachin Pankaj Desai, DDS
• Shannon Deukmajian, PPS
• Devesh N Patel,MD
• Yemima Devina, NP
• Devoted Hospice Care Inc

• Dermatology Physician in Glendora, CA
• Providers in Glendora, 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 24, 2022; 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.