DR. TANYA KORMEILI (NPI# 1245450766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245450766 |
| Entity Type | Individual |
| Full Name | DR. TANYA KORMEILI |
| Credential | MD |
| Practice Address |
2811 Wilshire Blvd Ste 640 Santa Monica CA 90403-4823 |
| Practice Telephone | 3105268301 |
| Mailing Telephone | 3105268301 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A83828 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A83838 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
A83828 | CA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
A83828 | CA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
A83828 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A83828 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PIN | WA83828A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1260 15th St, Suite 709, Santa Monica, CA 904041135 | 3109174433 | 3109174432 |
| Street Address |
2811 WILSHIRE BLVD STE 640 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891100228 | Victor Schultz | Dermatology | 2461 Santa Monica Blvd # 233, Santa Monica, CA 90404-2138 | 2014-06-24 |
| 1659691772 | Vandana Madkan | Dermatology | 1821 Wilshire Blvd Ste 550, Santa Monica, CA 90403-5668 | 2010-06-11 |
| 1942450812 | Pamela Stewart Rand | Dermatology | 1260 15th St Ste 1109, Santa Monica, CA 90404-1146 | 2008-09-26 |
| 1871786293 | Marcia Hogeling | Dermatology | 2001 Santa Monica Blvd Ste 1070, Santa Monica, CA 90404-2202 | 2007-08-20 |
| 1033328604 | Elizabeth Nimni | Dermatology | 2021 Santa Monica Blvd Ste 520e, Santa Monica, CA 90404-2219 | 2007-05-21 |
| 1134259104 | Karyn L Grossman | Dermatology | 2001 Santa Monica Blvd Ste 1250w, Santa Monica, CA 90404-2217 | 2007-03-07 |
| 1619024502 | Adriana N Schmidt | Dermatology | 2001 Santa Monica Blvd Ste 990w, Santa Monica, CA 90404 | 2007-01-04 |
| 1356441869 | Ritu Sonia Batra | Dermatology | 1301 20th St Ste 465, Santa Monica, CA 90404-2090 | 2006-09-24 |
| 1851325716 | Daniel Shahrooz Behroozan | Dermatology | 2221 Lincoln Blvd, Suite 100, Santa Monica, CA 90405-1320 | 2006-07-10 |
| 1588607394 | Joseph Francis Greco | Dermatology | 2020 Santa Monica Blvd Ste 510, Santa Monica, CA 90404-2131 | 2006-06-13 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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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.