DERMATOLOGY SURGICAL-MEDICAL CLINICS SANTA CLARITA VALLEY INC. (NPI# 1396941290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396941290 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY SURGICAL-MEDICAL CLINICS SANTA CLARITA VALLEY INC. |
| Practice Address |
23861 Mcbean Pkwy Suite D6 Valencia CA 91355-2058 |
| Practice Telephone | 6612597333 |
| Practice Fax Number | 6612596125 |
| Mailing Telephone | 6612597333 |
| Mailing Fax Number | 6612596125 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | DR. GARY BRADFORD KLEIN (OWNER) |
| Authorized Official Telephone | 6612597333 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
C031243 | CA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
C031243 | CA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
C031243 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
C031243 | CA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | C031243 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | C031243 | 01 |
| CA | DEA CERTIFICATE | AK0041652 | 01 |
| Street Address |
23861 MCBEAN PKWY SUITE D6 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336608496 | Rita Kachakian | Nurse Practitioner | 23861 Mcbean Pkwy, Valencia, CA 91355 | 2019-03-18 |
| 1821456716 | Romulus Arnas Ramos | Nurse Practitioner | 23861 Mcbean Pkwy, Ste A4, Valencia, CA 91355-2058 | 2016-02-05 |
| 1073859161 | Lawrence Strick Md A Medical Corporation | Allergy & Immunology | 23861 Mcbean Pkwy, E26, Valencia, CA 91355-2058 | 2012-12-18 |
| 1720248339 | Nilesh H. Hingarh M.d., Inc | Internal Medicine | 23861 Mcbean Pkwy, E-26, Valencia, CA 91355-2058 | 2008-06-17 |
| 1255529749 | Anthony J Sardonia | Optometrist | 23861 Mcbean Pkwy, E-12, Valencia, CA 91355-2058 | 2007-10-09 |
| 1194911065 | Santa Clarita Valley Eye Medical Group Inc | Ophthalmology | 23861 Mcbean Pkwy, E12, Valencia, CA 91355-2058 | 2007-09-24 |
| 1447384490 | Adrienne C. Altman | Pediatrics | 23861 Mcbean Pkwy, Suite B-2, Valencia, CA 91355-2058 | 2007-03-14 |
| 1649304692 | Catherine R.e. Manuel | Pediatrics | 23861 Mcbean Pkwy, Suite B-2, Valencia, CA 91355-2058 | 2007-03-14 |
| 1841351277 | Shilesh Iyer | Specialist | 23861 Mcbean Pkwy, #e-21, Valencia, CA 91355-2058 | 2006-12-12 |
| 1003987660 | Nola Clark Aronson | Audiologist-Hearing Aid Fitter | 23861 Mcbean Pkwy, E16, Valencia, CA 91355-2058 | 2006-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
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| 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 |
|---|---|---|---|---|
| 1528247723 | Leo Indianer, Md, A Medical Corporation | Dermatology | 23403 Lyons Ave, Pmb 178, Valencia, CA 91355-3028 | 2007-10-24 |
| 1487626867 | Patricia Cavender | Dermatology | 23803 Mcbean Pkwy, Valencia, CA 91355 | 2006-02-01 |
| 1851654990 | Jenna Natalie Queller | Dermatology | 28212 Kelly Johnson Pkwy, Ste 245, Valencia, CA 91355-5092 | 2012-06-22 |
| 1639460744 | Emily Clara Newsom | Dermatology | 27235 Tourney Rd Ste 2500, Valencia, CA 91355-5908 | 2011-04-22 |
| 1558542753 | Alma Leyla Dehdashti | Dermatology | 23803 Mcbean Pkwy, Valencia, CA 91355-2001 | 2007-11-16 |
| 1235282856 | Michael Mccray | Dermatology | 27420 Tourney Road, 260, Valencia, CA 91355-5636 | 2007-01-18 |
| 1285732388 | Gary Bradford Klein | Dermatology | 23861 Mcbean Pkwy, Suite D6, Valencia, CA 91355-2058 | 2006-09-20 |
| 1013941962 | Bernard Raskin | Dermatology | 23861 Mcbean Pkwy, # E-21, Valencia, CA 91355 | 2006-07-10 |
| 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 |
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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.