DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP (NPI# 1083825947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083825947 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP |
| Practice Address |
5340 Elvas Ave Suite 600 Sacramento CA 95819-2345 |
| Practice Telephone | 9167391505 |
| Practice Fax Number | 9167391426 |
| Mailing Telephone | 9167391505 |
| Mailing Fax Number | 9167391426 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-12-11 |
| Authorized Official Name | DR. LAWRENCE J BASS (PRESIDENT) |
| Authorized Official Telephone | 9167391505 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G36407 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A55877 | CA | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
C34793 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI - LAWRENCE J. BASS MD | 1447340849 | 01 |
| CA | NPI- MARGARET PARSONS MD | 1609952860 | 01 |
| CA | NPI- LAYNE HERSH MD | 1518043777 | 01 |
| Street Address |
5340 ELVAS AVE SUITE 600 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598777146 | Karen E. Hart | Family Medicine | 5340 Elvas Ave, Ste 100, Sacramento, CA 95819-2345 | 2006-08-12 |
| 1205229549 | Grabowski & Associates Inc | Prosthetic/Orthotic Supplier | 5340 Elvas Ave, Suite 700, Sacramento, CA 95819-2345 | 2015-03-11 |
| 1699184390 | Hart Healht Care, Inc | Clinic/Center | 5340 Elvas Ave, Ste 100, Sacramento, CA 95819-2345 | 2014-08-06 |
| 1386775567 | William Bennett Iliff | Dentist | 5340 Elvas Ave, Suite 400, Sacramento, CA 95819-2345 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750488649 | An Yen | Dermatology | 1495 River Park Dr, Suite 200, Sacramento, CA 95815-4500 | 2006-09-20 |
| 1316041965 | Suzanne L Kilmer | Dermatology | 3835 J Street, Sacramento, CA 95816-5520 | 2006-09-12 |
| 1104849967 | Marla L. Mcclaren | Dermatology | 3835 J St, Sacramento, CA 95816-5520 | 2006-07-25 |
| 1184027104 | Pacific Skin Institute | Dermatology | 1495 River Park Dr, Suite 200, Sacramento, CA 95815-4500 | 2014-10-05 |
| 1306912464 | Rebecca Sprague | Dermatology | 3835 J Street, Sacramento, CA 95816-5520 | 2006-11-28 |
| 1609952860 | Margaret E Parsons | Dermatology | 5340 Elvas Avenue, Suite 600, Sacramento, CA 95819-2385 | 2006-10-31 |
| 1518043777 | Layne M Hersh | Dermatology | 5340 Elvas Avenue, Suite 600, Sacramento, CA 95819-2385 | 2006-10-31 |
| 1780796367 | Susan K Silva | Dermatology | 3835 J St, Sacramento, CA 95816-5520 | 2006-08-31 |
| 1326150913 | Laser & Skin Surgery Medical Group Inc | Dermatology | 3835 J St, Sacramento, CA 95816-5520 | 2006-08-31 |
| 1427166016 | Vera A Chotzen | Dermatology | 3835 J St, Sacramento, CA 95816-5520 | 2006-08-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
Please comment or provide details below to improve the information on DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP.
| 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.