CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER (NPI# 1154834992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154834992 |
| Entity Type | Organization |
| Organization Name | CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER |
| Practice Address |
46080 Jefferson St La Quinta CA 92253-4401 |
| Mailing Address |
42600 Mirage Rd Bldg A1 Rancho Mirage CA 92270-4127 |
| Practice Telephone | 7604234000 |
| Practice Fax Number | 7603188103 |
| Mailing Telephone | 7604234000 |
| Mailing Fax Number | 7603188103 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | LEE ERWIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7604234043 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063502227 | Contour Dermatology and Cosmetic Surgery Medical Center | Dermatology | 42600 Mirage Rd, Suite A1, Rancho Mirage, CA 92270-4127 | 2006-10-16 |
| Street Address |
46080 JEFFERSON ST |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| 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 |
|---|---|---|---|---|
| 1235233743 | Ruth Ellen Vanderplas | Dermatology | 47647 Caleo Bay Dr, Suite 250, La Quinta, CA 92253-8854 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 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.