Individual provider Active NPI

Rahil Dharia, MD

  • MOHS-Micrographic Surgery Physician
  • Glendale, CA
National Provider Identifier
1821524901
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
173979 Issued in CA
Practice address
1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444
Phone
(818) 790-3588
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 173979 CA
Dermatology Physician 207N00000X 036.155850 IL
Procedural Dermatology Physician 207NS0135X 173979 CA
Procedural Dermatology Physician 207NS0135X 036155850 IL
Student in an Organized Health Care Education/Training Program 390200000X
MOHS-Micrographic Surgery Physician 207ND0101X 173979 CA Primary

Addresses

Primary practice location

1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444

Mailing address

1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444

Other practice location 1

908 N Elm St Ste 300
Hinsdale, IL 60521-3625
Phone (630) 884-5913

Other practice location 2

2435 Dean St Ste 2E
St Charles, IL 60175-4827
Phone (630) 528-2861

Other practice location 3

2460 N Ponderosa Dr Ste A117
Camarillo, CA 93010-2468
Phone (805) 484-2855

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726004154 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8527303031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacifica DermatologyGroup PAC ID 0840628533, 2 clinicians
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

2460 N Ponderosa Dr
Suite A117
Camarillo, CA 93010-2468
Phone (805) 430-0002

2720 W Magnolia Blvd
Burbank, CA 91505-3034
Phone (818) 842-8000

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision128
Removal of skin lesions576
Removal of skin cancer328
Removal of nail tissue1-10
Skin biopsy217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.155850ILMDDermatology Physician
173979CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Beauty Center (SBC), Inc. - Glendale Dermatology CurrentSince Aug 7, 2023 Accepting new patients
Northridge Dermatology Associates Medical Group Inc Dermatology Current Accepting new patients
Camarillo Surgical Center Associates Inc CurrentSince Jun 1, 2024 Accepting new patients
Skin and Beauty Center Inc Dermatology CurrentSince Aug 7, 2023 Accepting new patients
Adventist Midwest Health Past Accepting new patients
Skin and Beauty Center (SBC), Inc. Dermatology Past Accepting new patients

Locations

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

2720 W Magnolia Blvd
Burbank, CA 91505
Phone (818) 842-8000

2460 N Ponderosa Dr
Ste A116
Camarillo, CA 93010
Phone (805) 484-2855

2460 N Ponderosa Dr
Ste A117
Camarillo, CA 93010
Phone (805) 430-0002

1577 E Chevy Chase Dr
Ste 320
Glendale, CA 91206
Phone (818) 246-4936

1818 Verdugo Blvd
Ste 304
Glendale, CA 91208
Phone (818) 790-3588

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

301 S Fair Oaks Ave
Ste 302
Pasadena, CA 91105
Phone (626) 792-2378

23501 Cinema Dr
Ste 111
Valencia, CA 91355
Phone (661) 258-3811

7345 Medical Center Dr
Ste 310
West Hills, CA 91307
Phone (818) 884-8044

696 Hampshire Rd
Ste 110
Westlake Vlg, CA 91361
Phone (805) 230-1111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rdharia@dcm-ca.emadirect.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1821524901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081444",
            "telephone_number": "818-790-3588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 N Elm St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213625",
            "country_code": "US",
            "telephone_number": "630-884-5913",
            "fax_number": "630-455-1759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 Dean St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601754827",
            "country_code": "US",
            "telephone_number": "630-528-2861",
            "fax_number": "630-443-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 N Ponderosa Dr Ste A117",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930102468",
            "country_code": "US",
            "telephone_number": "805-484-2855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHARIA",
        "first_name": "RAHIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "173979",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.155850",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "173979",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036155850",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "173979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.