DEL MAR DERMATOLOGY MEDICAL CORP (NPI# 1043503600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043503600 |
| Entity Type | Organization |
| Organization Name | DEL MAR DERMATOLOGY MEDICAL CORP |
| Practice Address |
1349 Camino Del Mar Suite D Del Mar CA 92014-2553 |
| Practice Telephone | 8587550707 |
| Practice Fax Number | 8587550123 |
| Mailing Telephone | 8587550707 |
| Mailing Fax Number | 8587550123 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | DR. AGATA MARRIOTT (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8587550707 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1349 CAMINO DEL MAR SUITE D |
| City | DEL MAR |
| State | CA |
| Zip Code | 92014-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699886564 | Agata Marriott | Specialist | 1349 Camino Del Mar, Suite D, Del Mar, CA 92014-2553 | 2006-08-31 |
| 1851840748 | Aw Services, Inc. | Clinic/Center | 1349 Camino Del Mar, Suite F, Del Mar, CA 92014-2553 | 2016-10-03 |
| 1508179979 | Andrew Joseph Fasciani | Optometrist | 1349 Camino Del Mar, Del Mar, CA 92014-2553 | 2010-07-14 |
| 1952545881 | Loy Chiropractic | Chiropractor | 1349 Camino Del Mar, Suite F, Del Mar, CA 92014-2553 | 2009-04-22 |
| 1003054578 | Hawaii Pacific Neuroscience | Psychiatry & Neurology | 1349 Camino Del Mar, Suite A, Del Mar, CA 92014-2553 | 2009-01-21 |
| 1851546279 | Lamont Stuart Loy | Chiropractor | 1349 Camino Del Mar, Suite F, Del Mar, CA 92014-2553 | 2008-11-26 |
| 1295997047 | California Orthopaedic Institute Medical Associates Inc | Orthopaedic Surgery | 1349 Camino Del Mar, Suite F, Del Mar, CA 92014-2553 | 2008-07-01 |
| 1629270426 | Arnold S Kremer D.o A Professional Corporation | Family Medicine | 1349 Camino Del Mar, Suite B, Del Mar, CA 92014 | 2007-06-04 |
| 1851505002 | Gregory Joseph Graham | Optometrist | 1349 Camino Del Mar, Del Mar, CA 92014-2553 | 2007-05-09 |
| 1619094778 | Franklin Zalman, M.d. Inc | Internal Medicine | 1349 Camino Del Mar, Suite B, Del Mar, CA 92014-2553 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751924 | Stanisai Dental Corporation | Dentist | 2710 Via De La Valle, Suite B250, Del Mar, CA 92014 | 2017-07-03 |
| 1750757886 | Darena Ann Bailey | Psychologist | 13778 Ruette Le Parc, Suite E, Del Mar, CA 92014 | 2015-08-12 |
| 1063754885 | James Anthony Bosch | Marriage & Family Therapist | 2002 Jimmy Durante Blvd Suite 124, Del Mar, CA 92014 | 2013-03-19 |
| 1255682167 | Allcare Behavioral Health | Community/Behavioral Health | 3790 Via Da La Valle, Suite 108e, Del Mar, CA 92014 | 2012-10-02 |
| 1952693467 | William Talbot Bowen | Emergency Medicine | 13734 Boquita Dr., Del Mar, CA 92014 | 2011-05-03 |
| 1821239567 | Kathyrn Engel | Social Worker | 13352 Caminito Carmel, Del Mar, CA 92014 | 2009-03-10 |
| 1356500839 | Hsin-ti S Chang | Dentist | 13760 Portofino Dr Apt A, Del Mar, CA 92014 | 2008-06-09 |
| 1952523177 | Ron Barry Dmd Inc. | Dentist | 13983 Mango Drive, Suite 202, Del Mar, CA 92014 | 2007-05-03 |
| 1225182769 | Kathleen Ann Larson | Social Worker | 1337 Camino Del Mar Ste B, Del Mar, CA 92014 | 2007-01-22 |
| 1144388554 | Charlotte Denise Scott | Chiropractor | 2636 Flower Hill Drive, Del Mar, CA 92014 | 2006-12-05 |
| Find all providers in zip 92014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699886564 | Agata Marriott | Specialist | 1349 Camino Del Mar, Suite D, Del Mar, CA 92014-2553 | 2006-08-31 |
| 1598095358 | Mark Charles Goldstein | Specialist | 12845 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014-3862 | 2009-12-30 |
| 1578738035 | Adelheid Katharina Leu | Specialist | 1011 Camino Del Mar, 212, Del Mar, CA 92014-2640 | 2008-04-25 |
| 1548385123 | Pamela R Schafer | Specialist | 1343 Stratford Ct, Del Mar, CA 92014-2327 | 2007-03-20 |
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| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.