NPIMap

Organization Active NPI

Skin and Beauty Center (SBC), Inc. - Glendale

  • Dermatology Physician
  • Glendale, CA
National Provider Identifier
1881131613
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN AND BEAUTY CENTER (SBC), INC. - GLENDALE
Practice address
1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444
Phone
(818) 790-3588
Fax
(323) 935-8804
NPI assigned
Jan 31, 2017
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SKIN AND BEAUTY CENTER (SBC), INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Jennifer Mones
Title
Practice Administrator
Phone
(818) 842-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X CA Primary

Addresses

Primary practice location

1818 Verdugo Blvd Ste 304
Glendale, CA 91208-1444

Mailing address

PO Box 840853
Los Angeles, CA 90084-0853
Phone (778) 222-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000738 CA Part B Supplier - Clinic/Group Practice 8628170347 Receives reassigned benefits from 36 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Westlake Village, CA; West Hills, CA; Valencia, CA; Pasadena, CA; Northridge, CA; Glendale, CA; Burbank, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Skin and Beauty Center Inc3 organizations share this tax ID, including this one
Part of
Skin and Beauty Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1818 Verdugo Blvd
Ste 304
Glendale, CA 91208
Phone (818) 790-3588

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1881131613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840853",
            "telephone_number": "778-222-2238",
            "fax_number": "818-842-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081444",
            "telephone_number": "818-790-3588",
            "fax_number": "323-935-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN AND BEAUTY CENTER (SBC), INC. - GLENDALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKIN AND BEAUTY CENTER (SBC), INC.",
        "enumeration_date": "2017-01-31",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-842-8000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.