Pacific West Dermatology a Medical Corp

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A71181 Issued in CA

Legal business name

PACIFIC WEST DERMATOLOGY A MEDICAL CORP

Practice address

9001 Wilshire Blvd
Ste 106
Beverly Hills, CA 90211-1838

Phone

(310) 273-8885

Fax

(310) 273-8662

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Julian Omidi, M.D.NPI 1962421164

Title

Owner Operator

Phone

(310) 927-3282

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Julian C Omidi, MD

  • MOHS-Micrographic Surgery Physician
  • Beverly Hills, CA
  • NPI 1962421164

  Dermatology

  NPD (past) Authorized official
• Mary Rita Harper I, PA

  • Medical Physician Assistant
  • Lancaster, CA
  • NPI 1184874448
  NPD (past)
• Khosro Sadeghani, MD

  • Dermatology Physician
  • Mission Hills, CA
  • NPI 1750315362
  NPD (past)
• Sherry Ann L. Sanvictores, NP

  • Acute Care Nurse Practitioner
  • Northridge, CA
  • NPI 1528226602
  NPD (past)
• Nadia Kihiczak, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1568568889
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1821167537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "STE 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": "9001 WILSHIRE BLVD",
            "address_2": "STE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-273-8885",
            "fax_number": "310-273-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST DERMATOLOGY A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "OMIDI",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "310-927-3282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A71181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Oaks Medical Group & Subsidiary (Consolidated Laboratory Services)
• Pacific Pelvic Pain Center a Medical Corporation (Pacific Pelvic Pain Center)
• Pacific Plastic Surgery Inc
• Pacific Psychiatric Center
• Pacific Radiology Group of California
• Susan Padrad, DAOM, LAC
• Susie Pae, MD
• Ryan Walker Page
• Reut Ron Pagi, M.D.
• Pain Psychology Center: a Licensed Clinical Social Worker PC (Pain Psychology Center)

• Dermatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.