Advanced Dermatology and Skin Surgery Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A97430 Issued in CA

Legal business name

ADVANCED DERMATOLOGY AND SKIN SURGERY INC

Practice address

14830 Los Gatos Blvd Ste 100
Los Gatos, CA 95032-2053

Phone

(408) 358-1256

Fax

(408) 358-1826

NPI assigned

Apr 15, 2016

Last updated

Apr 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yi-Pin Tsao

Title

Practice Manager

Phone

(408) 217-1905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1841644804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-217-1905",
            "fax_number": "408-244-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14830 LOS GATOS BLVD STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322053",
            "telephone_number": "408-358-1256",
            "fax_number": "408-358-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY AND SKIN SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "TSAO",
        "authorized_official_first_name": "YI-PIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "408-217-1905"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A97430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Pearl Adams, DPT
• Adept Physical Therapy PC
• Elizabeth Marie Adie, M.D.
• Advanced Aesthetic and Plastic Surgery Medical Center
• Advanced Aesthetic Dermatology
• Advanced Wellness and Nutrition Center
• Aesthetica Plastic Surgicenter
• Affirming Relationship and Family Therapy, Inc. (Affirming Relationship Therapy)
• Afiya Medical Group Inc.
• After Hours Healthcare Corporation

• Specialist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.