SPECTRUM DERMATOLOGY MEDICAL ASSOCS CORP. (NPI# 1194750661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194750661 |
| Entity Type | Organization |
| Organization Name | SPECTRUM DERMATOLOGY MEDICAL ASSOCS CORP. |
| Other Organization Name | SPECTRUM DERMATOLOGY AND ASSOCIATES |
| Practice Address |
665 Munras Ave Suite 200 Monterey CA 93940-3134 |
| Practice Telephone | 8313726900 |
| Practice Fax Number | 8313720266 |
| Mailing Telephone | 8313726900 |
| Mailing Fax Number | 8313720266 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-05-22 |
| Authorized Official Name | DR. JACOB S. LO (PRESIDENT) |
| Authorized Official Telephone | 8313726900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A46142 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1831131069 | 01 |
| Other Name | Type Code |
|---|---|
| SPECTRUM DERMATOLOGY AND ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
665 MUNRAS AVE SUITE 200 |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106257 | Ue Ching Ow | Anesthesiology | 665 Munras Ave, Suite 100, Monterey, CA 93940-3134 | 2005-10-03 |
| 1174932701 | Health Diagnostics of California, LLC | Clinic/Center | 665 Munras Ave, Suite 109, Monterey, CA 93940-3134 | 2014-08-07 |
| 1760730725 | Scope Medical Inc | Dermatology | 665 Munras Ave, Suite 200, Monterey, CA 93940-3134 | 2012-08-24 |
| 1285872945 | Monterey Peninsula Surgery Center Munras Ave | Clinic/Center | 665 Munras Ave, Suite 100, Monterey, CA 93940-3134 | 2009-02-03 |
| 1043357239 | David Thomas Morwood | Plastic Surgery | 665 Munras Ave, Ste. 220, Monterey, CA 93940-3129 | 2007-01-30 |
| 1053490581 | David L Mitchell | Anesthesiology | 665 Munras Ave, Ste 100, Monterey, CA 93940-3134 | 2006-11-03 |
| 1497861231 | Daniel Lawrence Braslau | Radiology | 665 Munras Ave, Suite 109, Monterey, CA 93940 | 2006-08-22 |
| 1801902655 | Bay Area Medical Imaging Assoc LLC | Clinic/Center | 665 Munras Ave, Suite 109, Monterey, CA 93940 | 2006-08-22 |
| 1649210212 | Monterey Doctors Surgery Center | Clinic/Center | 665 Munras Ave, Suite 100, Monterey, CA 93940-3134 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
| Find all providers in zip 93940 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932464310 | Scope Medical, Inc | Dermatology | 665 Munras Ave Ste 200, Monterey, CA 93940-3129 | 2012-07-11 |
| 1760730725 | Scope Medical Inc | Dermatology | 665 Munras Ave, Suite 200, Monterey, CA 93940-3134 | 2012-08-24 |
| 1235265059 | Skin Cancer Center of Monterey, Inc | Dermatology | 977 Pacific St Ste B, Monterey, CA 93940-4400 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
| 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.