NPIMap

Organization Active NPI

Artius Dermatology Associates PC

  • Non-Pharmacy Dispensing Site
  • Stockton, CA
National Provider Identifier
1982225496
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ARTIUS DERMATOLOGY ASSOCIATES PC
Practice address
5757 Pacific Ave Ste 228
Stockton, CA 95207-5159
Phone
(209) 490-5050
Fax
(209) 779-6211
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Ronald Mistak
Title
Cfo
Phone
(361) 248-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

5757 Pacific Ave Ste 228
Stockton, CA 95207-5159

Mailing address

PO Box 101868
Pasadena, CA 91189-0055
Phone (956) 803-0711

National Provider Directory

National Provider Directory
Tax ID family
Artius Dermatology Associates PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 490-5050

Practitioners & affiliated clinicians

Practitioners 1

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": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1982225496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101868",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911890055",
            "telephone_number": "956-803-0711",
            "fax_number": "956-803-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PACIFIC AVE STE 228",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075159",
            "telephone_number": "209-490-5050",
            "fax_number": "209-779-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTIUS DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "MISTAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-248-1505"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.