Active NPI
William R Coleman, MD
- Dermatology Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G67719
- Practice address
- 9535 Reseda Boulevard
Suite 304
Northridge, CA 91324-6029 - Phone
- (818) 886-3884
- Fax
- (818) 886-5418
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G67719 | CA | Primary |
Addresses
Primary practice location
9535 Reseda Boulevard
Suite 304
Northridge, CA 91324-6029
Mailing address
9535 Reseda Boulevard
Suite 304
Northridge, CA 91324-6029
Phone (818) 886-3884
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Un of California, Irvine, College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9535 Reseda Blvd
Suite 304
Northridge, CA 91324-6029
Phone (818) 886-3884
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1023 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 276 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G67719 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin and Beauty Center (SBC), Inc. - Glendale | Dermatology | Current | Accepting new patients |
| Skin and Beauty Center Inc | Dermatology | Current | Accepting new patients |
| Cardiology Associates Medical Group | Past | Accepting new patients | |
| Skin and Beauty Center (SBC), Inc. | Dermatology | Past | Accepting new patients |
Locations
8950 W Olympic Blvd
Ste 171
Beverly Hills, CA 90211
2720 W Magnolia Blvd
Burbank, CA 91505
Phone (818) 842-8000
191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126
9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wcoleman@dcm-ca.emadirect.md
Organizations & group practices 4
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.
-
- Dermatology Physician
- Burbank, CA
- NPI 1073751129
-
- Dermatology Physician
- Glendale, CA
- NPI 1881131613
-
- Medical Specialty Clinic/Center
- Ventura, CA
- NPI 1376641449
-
- Dermatology Physician
- Valencia, CA
- NPI 1316026875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760404792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 RESEDA BOULEVARD",
"address_2": "SUITE 304",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913246029",
"telephone_number": "818-886-3884",
"fax_number": "818-886-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9535 RESEDA BOULEVARD",
"address_2": "SUITE 304",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913246029",
"telephone_number": "818-886-3884",
"fax_number": "818-886-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G67719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.