Hillside Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HILLSIDE DERMATOLOGY

Practice address

24520 Hawthorne Blvd Ste 240
Torrance, CA 90505-6849

Phone

(310) 300-6206

NPI assigned

Aug 14, 2023

Last updated

Oct 10, 2023By 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

Albert Antonyan, MDNPI 1457770273

Title

Ceo

Phone

(310) 300-6206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Albert Antonyan, MD

  • Dermatology Physician
  • Torrance, CA
  • NPI 1457770273
  Medicare reassignment Care Compare group NPD Authorized official
• Holly Gruwell Antonyan, N.P.

  • Nurse Practitioner
  • Torrance, CA
  • NPI 1144500398
  Medicare reassignment Care Compare group NPD
• Matthew Sidney Olin, PA

  • Physician Assistant
  • Torrance, CA
  • NPI 1124241070
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1851174924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056849",
            "telephone_number": "310-300-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056849",
            "telephone_number": "310-300-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "ANTONYAN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-300-6206",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Hill, RN
• Lonnie Hill III
• Ronald Hill
• Amy Marie Hillemann
• Jason Hilliado
• Ava Frances Hinkle
• Cristina Hinojosa-Martinez
• Leo Frank Hinojosa, LMT
• Khatereh Bakhtavar Hinze, D.C., PA-C
• Harmandeep Kaur Hira

• Dermatology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.