ADVANCED DERMATOLOGY AND SKIN SURGERY INC


Address: 4155 Moorpark Ave Ste 3, San Jose, CA 95117-1714
Phone: 5863441624

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology A97430 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA FH1305463 01

Other Provider/Organization Names

Other Name Type Code
Advanced Dermatology & Skin Surgery of Northern California Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4155 MOORPARK AVE STE 3
City SAN JOSE
State CA
Zip Code 95117-1714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639577000 Alice Hwang Registered Nurse 4155 Moorpark Ave Ste 3, San Jose, CA 95117-1714 2014-12-16

Providers in the same zip code

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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SAN JOSE
Zip Code 95117

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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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