Elan M. Newman, M.D., Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A100748 Issued in CA

Legal business name

ELAN M. NEWMAN, M.D., INC

Practice address

11622 El Camino Real FL 1
San Diego, CA 92130-2049

Phone

(858) 952-0715

NPI assigned

Nov 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Elan Mordeci Newman, MD

Title

Dermatologist/President

Phone

(818) 730-1629

Specialties & licenses 1

Addresses

Other names 1

• DermConsult Doing business as

Locations

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1780198358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 LOPEZ GLEN WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266112",
            "telephone_number": "858-952-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11622 EL CAMINO REAL FL 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302049",
            "telephone_number": "858-952-0715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6736 Lopez Glen Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921266112",
            "country_code": "US",
            "telephone_number": "858-952-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELAN M. NEWMAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-18",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ELAN",
        "authorized_official_middle_name": "MORDECI",
        "authorized_official_title_or_position": "DERMATOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "818-730-1629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A100748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermConsult",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bassel Fouad El-Rayes, MD
• Howaida Galal El-Said, M.D.
• Hisham Nabil El-Tayeb, M.D.
• Reza Elahimehr, M.D.
• Erik A Elam, MD
• Samar Elaraby
• Anahi Elazab Aguayo
• Dana Elazar
• Olla Omer Elbasheer, MD
• Hadar Elbaz, LAC

• Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.