California Dermatology Physicians

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

CALIFORNIA DERMATOLOGY PHYSICIANS

Practice address

1902 Fullerton Ave # 102
Corona, CA 92881-3112

Phone

(951) 479-8994

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Silvia Sedrak, DONPI 1346360906

Title

Manager

Phone

(214) 803-7650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Silvia Sedrak, D.O.

  • Family Medicine Physician
  • Katy, TX
  • NPI 1346360906

  CA

  Medicare reassignment NPD Authorized official
• Joseph Fayez Sedrak, M.D.

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
  • NPI 1316966575

  CA

  Medicare reassignment
• Pamela Hite, MD

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1851338875

  Procedural Dermatology

  NPD (past)
• Kashif Ahmed Zuberi, MBBCH FACS MRCSI

  • Surgery Physician
  • Bemidji, MN
  • NPI 1508919572
  NPD (past)

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1780188482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 HAMNER AVE # 505",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FULLERTON AVE # 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813112",
            "telephone_number": "951-479-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DERMATOLOGY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-803-7650",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Cadenas, PPS SCHOOL PSYCH
• Daniel Cahalin, BCBA
• Diana Caldera
• Jorge Ruben Calderas, NP
• Jazmin Calderon
• California Emergency Physc Med GRP
• California Nursing Consultants
• California Recovery Clinics
• California Rehabilitation & Sports Therapy a California Physical Ther
• Ceila Calixto

• Procedural Dermatology Physician in Corona, CA
• Providers in Corona, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.