SPECTRUM SKIN CANCER CARE INC (NPI# 1790134047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790134047 |
| Entity Type | Organization |
| Organization Name | SPECTRUM SKIN CANCER CARE INC |
| Practice Address |
425 E Holyoke Pl Claremont CA 91711-1979 |
| Mailing Address |
517 N Mountain Ave Upland CA 91786-5016 |
| Practice Telephone | 9097027602 |
| Mailing Telephone | 9097027602 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | ASIF SIDDIQ (PRESIDENT/PROVIDER) |
| Authorized Official Telephone | 9097027602 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
425 E HOLYOKE PL |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396160719 | Rosario Russell Scalise,m.d. | Family Medicine | 915 Sweetland St, Claremont, CA 91711-4163 | 2014-02-21 |
| 1104111566 | Victor Hugo Alvarez Casillas | Family Medicine | 1601 Monte Vista Ave Ste 100, Claremont, CA 91711-6601 | 2011-06-14 |
| 1700022118 | Alan Michael Bergen | Family Medicine | 676 Sage St, Claremont, CA 91711-1646 | 2009-01-06 |
| 1558565366 | Javier F. Chang | Family Medicine | 1601 Monte Vista Ave Ste 190, Claremont, CA 91711-6600 | 2007-06-14 |
| 1992831564 | Thomas Leroy Satrom | Family Medicine | 647 Wellesley Dr, Claremont, CA 91711-3428 | 2007-02-26 |
| 1023157229 | Mark Douglas Hawkins | Family Medicine | 3221 W Main St, Claremont, NC 28610-9692 | 2007-02-05 |
| 1013082403 | Jennie Yen Fang Ho | Family Medicine | 757 College Way, Claremont, CA 91711 | 2006-11-21 |
| 1083799811 | Charles J Brenton Jr. | Family Medicine | 55 Tyler St, Claremont, NH 03743 | 2006-10-27 |
| 1912094152 | Valley Family Physicians, P.l.l.c. | Family Medicine | 5 Dunning Street, Claremont, NH 03743-2530 | 2006-10-09 |
| 1992800353 | Jin Hewa Park | Family Medicine | 250 W San Jose Ave, Claremont, CA 91711-5207 | 2006-09-13 |
| Find all providers in CLAREMONT | ||||
Please comment or provide details below to improve the information on SPECTRUM SKIN CANCER CARE INC.
| 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.