ANA CARDENAS DERMATOLOGY, A PROFESSIONAL CORPORATION


Address: 3400 Calloway Dr, Suite 200, Bakersfield, CA 93312-2513
Phone: 6614107546

ANA CARDENAS DERMATOLOGY, A PROFESSIONAL CORPORATION (NPI# 1114033842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114033842
Entity Type Organization
Organization Name ANA CARDENAS DERMATOLOGY, A PROFESSIONAL CORPORATION
Other Organization Name ADVANCED COSMETIC DERMATOLOGY, A PROFESSIONAL CORPORATION
Practice Address 3400 Calloway Dr
Suite 200
Bakersfield
CA 93312-2513
Practice Telephone 6614107546
Practice Fax Number 6614107547
Mailing Telephone 6614107546
Mailing Fax Number 6614107547
Enumeration Date 2006-08-23
Last Update Date 2015-07-06
Authorized Official Name DR. ANA AMPARO CARDENAS (OWNER)
Authorized Official Telephone 6614107546
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
G86302 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA PTAN ZZZ02042Z 01

Other Provider/Organization Names

Other Name Type Code
Advanced Cosmetic Dermatology, A Professional Corporation Doing Business As Name - Organization

Office Location

Street Address 3400 CALLOWAY DR
SUITE 200
City BAKERSFIELD
State CA
Zip Code 93312-2513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841292026 Ana Amparo Cardenas Dermatology 3400 Calloway Dr, Ste 200, Bakersfield, CA 93312-2513 2005-06-01
1700281037 D.a. Health Care Services Home Health 3400 Calloway Dr, Suite #101, Bakersfield, CA 93312-2513 2014-10-29
1346594736 Express Drugs Pharmacy 3400 Calloway Dr, Suit 302, Bakersfield, CA 93312-2513 2012-11-07
1285704312 Lam Trinh Dentist 3400 Calloway Dr, Apt 303, Bakersfield, CA 93312-2513 2006-11-08
1033208459 Virginia Gifford Physician Assistant 3400 Calloway Dr, Suite 200, Bakersfield, CA 93312-2513 2006-10-12
1962590810 Donna J Headrick Nurse Practitioner 3400 Calloway Dr, Suite 200, Bakersfield, CA 93312 2006-10-10
1477590834 Pokey Bones LLC Pharmacy 3400 Calloway Dr, Ste 701, Bakersfield, CA 93312-2513 2006-06-02
1336141787 Andrew Zepp Family Medicine 3400 Calloway Dr, Bldg 400, Bakersfield, CA 93312-2513 2005-08-15

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NPI Name Taxonomy Address Enumeration
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1396286670 Kern Medical General Acute Care Hospital 12716 Sable Point Drive, Bakersfield, CA 93312 2017-03-20
1629511886 Prime Pulmonary & Sleep Medicine Center, Inc Clinic/Center 8305 Brimhall Rd. #1601, Bakersfield, CA 93312 2016-11-21
1427424563 Jieun Park Dentist 4201 Jewetta Ave. A5, Bakersfield, CA 93312 2015-08-12
1710366083 Monique Cleveland Counselor 9830 Brimhall Rd Unit 100, Bakersfield, CA 93312 2015-05-20
1063800985 Global Non Medical Transportatin,llc Non-emergency Medical Transport (VAN) 5204 Sand Castle Ct, Bakersfield, CA 93312 2014-12-30
1508270083 Joe Y Vuong Pharmacist 339 E Pine St ., Lodi, CA 93312 2014-06-12
1992054092 H. Norman Wright Counselor 12200 April Ann Ave, Bakersfield, CA 93312 2012-09-05
1154682987 Bakersfield Community Hospice, Inc. Home Health 3400 Calloway Drive, Suite #100, Bakersfield, CA 93312 2012-06-07
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538214804 Jeffrey J. Crowley, M.d., Inc. Dermatology 5101 Commerce Dr, Suite 101, Bakersfield, CA 93309-0411 2007-01-24
1063564425 Lynn Cranmer Dermatology 3733 San Dimas St, Bakersfield, CA 93301-1407 2007-01-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578173936 Mill Valley Dermatology, Inc Dermatology 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 2020-07-31
1710508874 Zhe Hou, M.d., Ph.d., A Professional Corporation Dermatology 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 2020-04-29
1073152112 Agape Dermatology PC Dermatology 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 2020-01-06
1497392492 Pacifica Dermatology Dermatology 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 2019-12-09
1518447689 Razieh Soltani Arabshahi Md Inc Dermatology 960 E Green St Ste 330, Pasadena, CA 91106-2401 2018-08-18
1811497928 Laca Dermatology, Inc Dermatology 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 2018-02-15
1427509959 Northern California Medical Assoc Inc Dermatology 555 S Dora St Ste B, Ukiah, CA 95482-5424 2016-10-19
1376091553 Integrated Dermatology of Mission Viejo, Apmc Dermatology 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 2016-09-15
1164835518 Laila Elkeeb, M.d., Inc Dermatology 242 Wicker, Irvine, CA 92618-1170 2014-06-03
1518303924 Christine Shaver Dermatology 1301 20th St Ste 570, Santa Monica, CA 90404-2118 2013-05-13
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Competitor

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City BAKERSFIELD
Zip Code 93312

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Dataset Information

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.

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