Individual provider Active NPI

Sherri Peace, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1962549279
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G72196 Issued in CA
Practice address
8930 S Sepulveda Blvd
Suite 104
Los Angeles, CA 90045-3606
Phone
(310) 645-6001
Fax
(310) 645-5919
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G72196 CA Primary

Addresses

Primary practice location

8930 S Sepulveda Blvd
Suite 104
Los Angeles, CA 90045-3606

Mailing address

8930 S Sepulveda Blvd
Suite 104
Los Angeles, CA 90045-3606
Phone (310) 645-6001

Other practice location 1

420 E 3rd St Ste 805
Los Angeles, CA 90013-1646
Phone (213) 687-3214

Other practice location 2

3655 Lomita Blvd Ste 212
Torrance, CA 90505-1915
Phone (213) 218-3966

Other identifiers 4

IdentifierTypeStateIssuer
00G721960MedicaidCA
G72196OtherCABLUE CROSS PROVIDER #
05D0966774OtherCACLIA #
00G721960OtherCABLUE SHIELD PROVIDER #

Other names 1

  • Dr. Sherri Price-Peace Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000579 CA Practitioner - Dermatology 0143281089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Irradiance Medical Group IncGroup PAC ID 2860534864, 6 clinicians
Sherri Peace MD IncGroup PAC ID 6507827441, 2 clinicians
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

420 E 3Rd St
Suite 805
Los Angeles, CA 90013-1646
Phone (213) 687-3214

8930 S Sepulveda Blvd
Suite 104
Los Angeles, CA 90045-3606
Phone (310) 645-6001

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions537
Removal or shaving of skin growth1-10
Skin biopsy126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72196CAMDMental Health Counselor
G72196CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northridge Dermatology Associates Medical Group Inc Dermatology Current Accepting new patients
Skin and Beauty Center (SBC), Inc. CurrentSince Sep 12, 2022 Accepting new patients
Irradiance Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
Skin and Beauty Center Inc Dermatology CurrentSince Sep 12, 2022 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

420 E 3rd St
Ste 805
Los Angeles, CA 90013
Phone (213) 218-3915

8930 S Sepulveda Blvd
Ste 104
Los Angeles, CA 90045
Phone (310) 645-6000

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

3655 Lomita Blvd
Ste 212
Torrance, CA 90505
Phone (213) 218-3966

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1962549279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-645-6001",
            "fax_number": "310-645-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-645-6001",
            "fax_number": "310-645-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 3rd St Ste 805",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900131646",
            "country_code": "US",
            "telephone_number": "213-687-3214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3655 Lomita Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905051915",
            "country_code": "US",
            "telephone_number": "213-218-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACE",
        "first_name": "SHERRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G72196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G721960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "G72196",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "05D0966774",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "00G721960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "PRICE-PEACE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.