ADVANCED DERMATOLOGY CARE, INC. (NPI# 1043536543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043536543 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY CARE, INC. |
| Other Organization Name | DBA: CALIFORNIA DERMATOLOGY CARE |
| Practice Address |
2262 Camino Ramon San Ramon CA 94583 |
| Practice Telephone | 9253280255 |
| Practice Fax Number | 9253280257 |
| Mailing Telephone | 9253280255 |
| Mailing Fax Number | 9253280257 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | FLORA TING (OFFICE MANAGER) |
| Authorized Official Telephone | 9253280255 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED DERMATOLOGY CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | A82266 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A82266 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DBA: California Dermatology Care | Doing Business As Name - Organization |
| Street Address |
2262 CAMINO RAMON |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235105446 | William Wei-ming Ting | Dermatology | 2262 Camino Ramon, San Ramon, CA 94583-1353 | 2006-02-27 |
| 1982153292 | Jessica D Man | Physician Assistant | 2262 Camino Ramon, #200, San Ramon, CA 94583-1353 | 2016-09-27 |
| 1316396336 | Oanhtuyet Dao | Physician Assistant | 2262 Camino Ramon, San Ramon, CA 94583-1353 | 2016-06-09 |
| 1043613862 | California Dermatology Care | Dermatology | 2262 Camino Ramon, San Ramon, CA 94583-1353 | 2014-10-07 |
| 1891082483 | Anne Elizabeth Callahan | Physician Assistant | 2262 Camino Ramon, Suite 200, San Ramon, CA 94583-1353 | 2011-07-01 |
| 1114986809 | Carey L Cano | Physician Assistant | 2262 Camino Ramon, Suite 200, San Ramon, CA 94583-1353 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
| 1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
| 1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
| 1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
| 1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
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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.