Stephanie J. Martin Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

STEPHANIE J. MARTIN INC

Practice address

16550 Ventura Blvd Ste 120
Encino, CA 91436-2014

Phone

(818) 208-9204

Fax

(818) 208-9204

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie J Martin, MDNPI 1891053419

Title

MD/Ceo

Phone

(713) 657-5776

Specialties & licenses 1

Addresses

Other names 1

• Cal Coast Dermatology Doing business as

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 2

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

• Stephanie Jeanne Martin, M.D.

  • MOHS-Micrographic Surgery Physician
  • Encino, CA
  • NPI 1891053419

  Single Specialty

  Medicare reassignment NPD Authorized official
• Renee Lucero Kang, DO

  • Dermatology Physician
  • Carmel, CA
  • NPI 1942797543
  Medicare reassignment NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1962075754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362014",
            "telephone_number": "818-208-9204",
            "fax_number": "818-208-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD STE 120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362014",
            "telephone_number": "818-208-9204",
            "fax_number": "818-208-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE J. MARTIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "713-657-5776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal Coast Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Mark Steinberg, M.D.
• Marcia Carol Steinberg, PSY.D.
• Margaret Steinitz, LCSW
• Stella Zweben Samuel, Licensed Clinical Social Worker, Inc.
• Stellar Wound Solutions
• Stephen Bresnick, M.D., Inc.
• Stephen J Friedman, MD PC
• Stephen Yu DDS Inc
• Jason Dax Stephens
• Laurie Ann Stephens, PH.D.

• 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 Jul 20, 2021; 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.