Active NPI
William Kirby, D.O.
- Dermatology Physician
- Hermosa Beach, CA
National Provider Identifier
1841375474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A8225
- Practice address
- 1312 Hermosa Ave
Hermosa Beach, CA 90254-3532 - Phone
- (888) 631-7773
- Fax
- (310) 861-8221
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20A8225 | CA | Primary |
Addresses
Primary practice location
1312 Hermosa Ave
Hermosa Beach, CA 90254-3532
Mailing address
1312 Hermosa Ave
Hermosa Beach, CA 90254-3532
Phone (888) 631-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8225 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1841375474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 HERMOSA AVE",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543532",
"telephone_number": "888-631-7773",
"fax_number": "310-861-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 HERMOSA AVE",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543532",
"telephone_number": "888-631-7773",
"fax_number": "310-861-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "WILLIAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "20A8225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.