The Dermbar a Physician Assistant Co

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

THE DERMBAR A PHYSICIAN ASSISTANT CO

Practice address

3333 Concours Ste 1201
Ontario, CA 91764-6539

Phone

(530) 680-8879

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Britney Kaufman, PA

Title

Authorized Official

Phone

(530) 680-8879

Specialties & licenses 4

Addresses

Practitioners 1

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

• Cherilou Cruz Concepcion, NP

  • Family Nurse Practitioner
  • Ontario, CA
  • NPI 1679191951
  NPD

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1821773045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS STE 1201",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917646539",
            "telephone_number": "909-476-4077",
            "fax_number": "909-476-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS STE 1201",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917646539",
            "telephone_number": "530-680-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMBAR A PHYSICIAN ASSISTANT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "530-680-8879",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishan Thapar, M.D.
• THC - Orange County, LLC
• THC - Orange County, LLC
• The Cataract Vision Institute LLC
• The Dermatology Bar, a Medical Corporation
• The Guided Path Foundation
• The Healing Place Inc.
• The Noire Nurse Wellness Collective, LLC
• The Purple Company LLC
• The Regent Co LLC

• Physician Assistant in Ontario, CA
• Providers in Ontario, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.