Organization Active NPI

Pimple Popper MD, Inc.

Doing business as Oceanview Dermatology

  • Dermatology Physician
  • Santa Barbara, CA
National Provider Identifier
1952915068
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PIMPLE POPPER MD, INC.
Doing business as
Oceanview Dermatology
Practice address
601 E Arrellaga St Ste 101
Santa Barbara, CA 93103-2275
Phone
(805) 944-1130
Fax
(805) 244-2568
NPI assigned
Sep 4, 2020
Last updated
Sep 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Authorized official

Name
Rikk Lynn, MDNPI 1437355260
Title
Ceo/President
Phone
(805) 944-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

601 E Arrellaga St Ste 101
Santa Barbara, CA 93103-2275

Mailing address

1669 Las Canoas Rd
Santa Barbara, CA 93105-2364
Phone (661) 993-2479

Other practice location 1

2320 Bath St Ste 203
Santa Barbara, CA 93105-4381
Phone (805) 944-1130

Other identifiers 1

IdentifierTypeStateIssuer
1437355260MedicaidCA

Other names 1

  • Oceanview Dermatology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL oceanviewderm@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516000958 CA Part B Supplier - Clinic/Group Practice 1355707456 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

601 E Arrellaga St
Ste 101
Santa Barbara, CA 93103
Phone (805) 687-5538

Practitioners & affiliated clinicians

Practitioners 2

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": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599868800000",
    "number": "1952915068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 LAS CANOAS RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052364",
            "telephone_number": "661-993-2479",
            "fax_number": "805-244-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ARRELLAGA ST STE 101",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032275",
            "telephone_number": "805-944-1130",
            "fax_number": "805-244-2568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 Bath St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054381",
            "country_code": "US",
            "telephone_number": "805-944-1130",
            "fax_number": "805-244-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIMPLE POPPER MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "RIKK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "805-944-1130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437355260",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oceanviewderm@gmail.com",
            "affiliation": "N",
            "address_1": "2320 Bath St Ste 203",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931054381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Oceanview Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceanview Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.