NPIMap

Organization Active NPI

Artius Dermatology Associates PC

  • Non-Pharmacy Dispensing Site
  • Manteca, CA
National Provider Identifier
1801417316
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ARTIUS DERMATOLOGY ASSOCIATES PC
Practice address
296 Cottage Ave
Manteca, CA 95336-4942
Phone
(209) 624-7006
Fax
(209) 554-4601
NPI assigned
May 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Ronald Mistak
Title
Cfo
Phone
(361) 248-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

296 Cottage Ave
Manteca, CA 95336-4942

Mailing address

PO Box 101868
Pasadena, CA 91189-0055
Phone (956) 803-0748

National Provider Directory

National Provider Directory
Tax ID family
Artius Dermatology Associates PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1801417316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101868",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911890055",
            "telephone_number": "956-803-0748",
            "fax_number": "956-803-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 COTTAGE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364942",
            "telephone_number": "209-624-7006",
            "fax_number": "209-554-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTIUS DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MISTAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-248-1505"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.