ADVANCED DERMATOLOGY AND SKIN SURGERY INC (NPI# 1821312091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821312091 |
Entity Type | Organization |
Organization Name | ADVANCED DERMATOLOGY AND SKIN SURGERY INC |
Other Organization Name | ADVANCED DERMATOLOGY & SKIN SURGERY OF NORTHERN CALIFORNIA |
Practice Address |
4155 Moorpark Ave Ste 3 San Jose CA 95117-1714 |
Practice Telephone | 5863441624 |
Practice Fax Number | 4084936782 |
Mailing Telephone | 5863441624 |
Mailing Fax Number | 4084936782 |
Enumeration Date | 2010-03-17 |
Last Update Date | 2011-07-07 |
Authorized Official Name | DR. GEORGE C. F. HSIEH (OWNER) |
Authorized Official Telephone | 5863441624 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | A97430 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DEA | FH1305463 | 01 |
Other Name | Type Code |
---|---|
Advanced Dermatology & Skin Surgery of Northern California | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841644804 | Advanced Dermatology and Skin Surgery Inc | Specialist | 14830 Los Gatos Blvd Ste 100, Los Gatos, CA 95032-2053 | 2016-04-15 |
Street Address |
4155 MOORPARK AVE STE 3 |
City | SAN JOSE |
State | CA |
Zip Code | 95117-1714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639577000 | Alice Hwang | Registered Nurse | 4155 Moorpark Ave Ste 3, San Jose, CA 95117-1714 | 2014-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
Find all providers in zip 95117 |
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 |
---|---|---|---|---|
1568767663 | D. Thomas Urban M.d., Inc | Dermatology | 6501 Crown Blvd., Suite #106a, San Jose, CA 95120-2903 | 2011-01-20 |
1386970853 | Edward E Rotan Md Inc | Dermatology | 2016 Forest Ave Ste 5, San Jose, CA 95128-4804 | 2009-10-19 |
1801992847 | An Tranvan | Dermatology | 105 N Jackson Ave Ste 103, San Jose, CA 95116-1913 | 2006-09-16 |
1720181399 | Hong Do | Dermatology | 1692 Tully Road, Suite #9, San Jose, CA 95122 | 2006-09-07 |
1366477606 | Sandra T Yeh | Dermatology | 706 N Winchester Blvd, San Jose, CA 95128-1524 | 2006-07-12 |
1881655363 | Marie B Britz | Dermatology | 2074 Forest Ave, Suite 1, San Jose, CA 95128-4811 | 2006-03-31 |
1114914256 | Tom Urban | Dermatology | 6501 Crown Blvd, Suite 106a, San Jose, CA 95120-2903 | 2005-10-04 |
1093718546 | Mychael Luu | Dermatology | 2050 Clarmar Way, San Jose, CA 95128-1704 | 2005-05-28 |
1144755141 | Uberwoundcare Inc | Dermatology | 2880 Zanker Rd, Suite 203, San Jose, CA 95134-2117 | 2017-04-27 |
1225586662 | Byron Andrew Knowles | Dermatology | 751 S. Bascom Ave, San Jose, CA 95128 | 2016-09-14 |
Find all providers in SAN JOSE |
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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.