SOUTHERN CALIFORNIA DERMATOLOGY, INC (NPI# 1386629905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386629905 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA DERMATOLOGY, INC |
| Other Organization Name | SOUTHERN CALIFORNIA DERMATOLOGY, INC |
| Practice Address |
1125 E 17th St W-248 Santa Ana CA 92701-2201 |
| Practice Telephone | 7145475151 |
| Practice Fax Number | 7145412016 |
| Mailing Telephone | 7145475151 |
| Mailing Fax Number | 7145474027 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | JONATHAN A BARON (OWNER) |
| Authorized Official Telephone | 7145475151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BARTLOW, GOODMAN & BARON | Doing Business As Name - Organization |
| SOUTHERN CALIFORNIA DERMATOLOGY, INC | Doing Business As Name - Organization |
| Street Address |
1125 E 17TH ST W-248 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602579 | Roger Hsio-hsion Wang | Family Medicine | 1125 E 17th St, Suite W239, Santa Ana, CA 92701-2201 | 2005-07-08 |
| 1518478643 | Eb Psych Solution, Inc. | Psychiatry & Neurology | 1125 E 17th St, Santa Ana, CA 92701-2201 | 2017-10-16 |
| 1679007314 | Enda Yadira Gutierrez | Technician, Pathology | 1125 E 17th St, Suite E214, Santa Ana, CA 92701-2201 | 2017-04-19 |
| 1780134478 | Dr. Bao Luu Nguyen Dds Inc. | Dentist | 1125 E 17th St, Suite # W 127, Santa Ana, CA 92701-2201 | 2016-10-06 |
| 1053768341 | Rameshni Chiropractic Inc. | Chiropractor | 1125 E 17th St, Suite W238, Santa Ana, CA 92701-2201 | 2016-05-17 |
| 1881005965 | Align Medical Group | Chiropractor | 1125 E 17th St, Suite W-117, Santa Ana, CA 92701-2201 | 2014-05-12 |
| 1770902900 | Raouf A Kayaleh Md Prof Medical Corp | Internal Medicine | 1125 E 17th St, Suite E-109, Santa Ana, CA 92701-2201 | 2014-04-15 |
| 1629495726 | Ali Hamzeh Medical Corporation | Obstetrics & Gynecology | 1125 E 17th St, Suite N152, Santa Ana, CA 92701-2201 | 2014-03-26 |
| 1861819542 | Stevie L Reynolds Dental Corporation | Dentist | 1125 E 17th St, N-151, Santa Ana, CA 92701-2201 | 2014-03-19 |
| 1811328388 | Lori Strother | Psychologist | 1125 E 17th St, Suite E113, Santa Ana, CA 92701-2201 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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 |
|---|---|---|---|---|
| 1811403298 | Marvous Saunders Md Inc. | Dermatology | 2621 S Bristol St Ste 102, Santa Ana, CA 92704-5718 | 2017-12-20 |
| 1912393885 | Suchismita Paul | Dermatology | 2212 E 4th St Ste 300, Santa Ana, CA 92705-3870 | 2015-04-08 |
| 1568730885 | Grace Liu Md Inc | Dermatology | 2700 N. Main Street, Ste 115, Santa Ana, CA 92705-6638 | 2011-12-01 |
| 1730411794 | Tony N. Nakhla, D.o., Inc. | Dermatology | 800 N Tustin Ave Ste G, Santa Ana, CA 92705-3605 | 2010-02-02 |
| 1386819241 | Trevor T. Muirhead | Dermatology | 1125 E 17th St Ste W248, Santa Ana, CA 92701-2205 | 2008-04-22 |
| 1437354289 | Brendan Matthew Lloyd | Dermatology | 2212 E. Fourth Street, Suite 304, Santa Ana, CA 92705-3870 | 2007-06-20 |
| 1831147024 | Marvous Saunders | Dermatology | 2621 South Bristol, #102, Santa Ana, CA 92704 | 2006-05-04 |
| 1679556633 | Matthew Mortensen Goodman | Dermatology | 1125 E 17th Street, Ste W-248, Santa Ana, CA 92701 | 2005-11-23 |
| 1083614986 | Elaine Zoberman-saltiel | Dermatology | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 | 2005-07-21 |
| 1457770273 | Albert Antonyan | Dermatology | 1125 E 17th St Ste W248, Santa Ana, CA 92701 | 2014-04-09 |
| Find all providers in SANTA ANA | ||||
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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.