Honest Dermatology Medical Group

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HONEST DERMATOLOGY MEDICAL GROUP

Practice address

15840 Ventura Blvd Ste 101
Encino, CA 91436-4737

Phone

(818) 789-3811

Fax

(818) 906-4169

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Brown

Title

Chief Operations Officer

Phone

(818) 789-3811

Specialties & licenses 1

Addresses

Other names 1

• Honest Dermatology Skin and Laser Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

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

• Zoe Indigo Smith, MD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1265054340
  Medicare reassignment Care Compare group NPD
• Melissa Sue Brown, PA-C

  • Physician Assistant
  • Encino, CA
  • NPI 1013249275
  Medicare reassignment Care Compare group
• Linda L Elbert, NP

  • Nurse Practitioner
  • Encino, CA
  • NPI 1376871186
  Medicare reassignment Care Compare group
• Michael J. Sabat, DO

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1205988664
  Medicare reassignment NPD
• Mitra Tahvildarian, PH.D., AGNP, CFMP

  • Gerontology Nurse Practitioner
  • Encino, CA
  • NPI 1730546581
  NPD
• Siavash Karimian, MD, ABFM

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1437288073
  NPD (past)
• Robin Elizabeth Reyes, PA-C

  • Medical Physician Assistant
  • Bakersfield, CA
  • NPI 1104836931
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1881935823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364737",
            "telephone_number": "818-789-3811",
            "fax_number": "818-906-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364737",
            "telephone_number": "818-789-3811",
            "fax_number": "818-906-4169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15503 Ventura Blvd",
            "address_2": "Suite 370",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914363140",
            "country_code": "US",
            "telephone_number": "818-789-3811",
            "fax_number": "818-501-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HONEST DERMATOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "818-789-3811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Honest Dermatology Skin and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Holiday, PSY.D.
• Michael Jay Hollander, M.D.
• Michael Holloway
• Homehealth Solution Inc.
• Ken Shoji Honbo, MD FACE
• David Michael Hong, MD
• Peter H Hong, MD
• Hood Psychological Associates
• Elexsia D Hood, PSYD
• Hooman Shabatian MD, a Medical Corporation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.