NPIMap

Organization Active NPI

Skin Cancer&Reconstructive Surgery Specialists of West Hills

  • Specialist
  • West Hills, CA
National Provider Identifier
1750571733
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A84519 Issued in CA
Legal business name
SKIN CANCER&RECONSTRUCTIVE SURGERY SPECIALISTS OF WEST HILLS
Practice address
7320 Woodlake Ave
Suite 320
West Hills, CA 91307-1468
Phone
(818) 883-3162
Fax
(818) 883-2900
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Michael M Omidi, M.DNPI 1376697599
Title
Medical Director
Phone
(310) 273-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A84519 CA Primary

Addresses

Primary practice location

7320 Woodlake Ave
Suite 320
West Hills, CA 91307-1468

Mailing address

9001 Wilshire Blvd
Suite 106
Beverly Hills, CA 90211-1838
Phone (310) 273-8885

Other names 1

  • skin cancer&reconstructive surgery specialists of west hills Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Skin Cancerreconstructive Surgery Specialists of West Hills3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1750571733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "SUITE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-273-8885",
            "fax_number": "310-273-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE",
            "address_2": "SUITE 320",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071468",
            "telephone_number": "818-883-3162",
            "fax_number": "818-883-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER&RECONSTRUCTIVE SURGERY SPECIALISTS OF WEST HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "OMIDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-273-8885",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A84519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "skin cancer&reconstructive surgery specialists of west hills",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.