Dermatology Surgical and Medical, Apc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G886298 Issued in CA

Legal business name

DERMATOLOGY SURGICAL AND MEDICAL, APC

Practice address

2881 4TH Ave
San Diego, CA 92103-6207

Phone

(619) 291-8292

Fax

(619) 291-8229

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Lerner, MD

Title

Owner

Phone

(858) 353-7247

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charles Marshal Sevadjian, MD

  • Dermatology Physician
  • San Diego, CA
  • NPI 1801908280

  Dermatology

  NPD

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1851645253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036207",
            "telephone_number": "619-291-8292",
            "fax_number": "619-291-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036207",
            "telephone_number": "619-291-8292",
            "fax_number": "619-291-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SURGICAL AND MEDICAL, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-353-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G886298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Deloris Derisi, PHARM.D.
• Derm - Jes Holdings, LLC
• Derma Hair Group
• Dermatology Professionals Incorporated
• Dermatology Specialists Inc
• Barbara Dernbach
• Harry F Derochemont
• Nicole Breann Deroco
• Savannah Deroma, LMFT
• Bonnie Deroo, AMFT, APCC, PHD

• All providers in San Diego, CA
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.