LUMINOUS DERMATOLOGY (NPI# 1427435304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427435304 |
| Entity Type | Organization |
| Organization Name | LUMINOUS DERMATOLOGY |
| Other Organization Name | PRECISION DERMATOPATHOLOGY |
| Practice Address |
504 W Pueblo St Ste 203 Santa Barbara CA 93105-6211 |
| Mailing Address |
504 W Pueblo St Ste 202 Santa Barbara CA 93105-6211 |
| Practice Telephone | 8056823329 |
| Practice Fax Number | 8056823338 |
| Mailing Telephone | 8056823329 |
| Mailing Fax Number | 8056823338 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | BRYAN GAMMON (PRESIDENT) |
| Authorized Official Telephone | 8056823329 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LUMINOUS DERMATOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | A118101 | CA | Laboratories |
| Other Name | Type Code |
|---|---|
| Precision Dermatopathology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609209576 | Luminous Dermatology | Dermatology | 504 W Pueblo St Ste 102, Santa Barbara, CA 93105-6211 | 2013-08-15 |
| Street Address |
504 W PUEBLO ST STE 203 |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021085 | Integrated Laboratories Advisory Group, Inc. | Clinical Medical Laboratory | 7 W Figueroa St Ste 300, Santa Barbara, CA 93101-3189 | 2020-10-21 |
| 1750539466 | Bioiq Inc. | Clinical Medical Laboratory | 1222 State St, #200, Santa Barbara, CA 93101-2633 | 2008-09-05 |
| 1477602639 | Pacific Diagnostic Laboratories | Clinical Medical Laboratory | 454 S Patterson Ave, Santa Barbara, CA 93111-2404 | 2007-01-09 |
| 1902972656 | Mgpl Inc | Clinical Medical Laboratory | 4181 State Street, Santa Barbara, CA 93110 | 2006-11-27 |
| 1518983782 | Sansum Clinic | Clinical Medical Laboratory | 89 S Patterson Ave, Santa Barbara, CA 93111-2003 | 2006-07-14 |
| 1043535487 | Pamela Jean Smith | Clinical Medical Laboratory | 2400 Bath St, Santa Barbara, CA 93105-4351 | 2010-03-29 |
| 1780894162 | Santa Barbara County Public Health Dept Co Lab Pp2 | Clinical Medical Laboratory | 300 N San Antonio Rd, Santa Barbara, CA 93110-1316 | 2007-05-23 |
| 1578620001 | Santa Barbara County Public Health Dept | Clinical Medical Laboratory | 315 Camino Del Remedio, Santa Barbara, CA 93110-1332 | 2007-01-03 |
| 1144312695 | Santa Barbara County County Auditor | Clinical Medical Laboratory | 315 Camino Del Remedio, Santa Barbara, CA 93110 | 2006-09-29 |
| 1790877249 | Santa Barbara County Public Health Dept | Clinical Medical Laboratory | 300 N San Antonio Rd, Santa Barbara, CA 93110-1332 | 2006-09-29 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
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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.