BRYAN GAMMON (NPI# 1518134154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518134154 |
| Entity Type | Individual |
| Full Name | BRYAN GAMMON |
| Credential | MD |
| Practice Address |
504 W Pueblo St Ste 202 Santa Barbara CA 93105-6211 |
| Mailing Address |
2285 Corporate Cir Ste 200 Henderson NV 89074-7759 |
| Practice Telephone | 8056826455 |
| Mailing Telephone | 7023602763 |
| Mailing Fax Number | 9497832880 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | A118101 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
A118101 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
504 W PUEBLO ST STE 202 |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407059025 | Loebat Kamalpour | Dermatology | 504 W Pueblo St Ste 202, Santa Barbara, CA 93105 | 2007-06-10 |
| 1992323356 | Jessica Thrift | Midwife | 504 W Pueblo St Ste 202, Santa Barbara, CA 93105-6211 | 2020-07-10 |
| 1942829130 | Ashley Ann May | Nurse Practitioner | 504 W Pueblo St Ste 202, Santa Barbara, CA 93105-6211 | 2020-04-09 |
| 1710277462 | Melissa Georgenson Drake | Obstetrics & Gynecology | 504 W Pueblo St Ste 202, Santa Barbara, CA 93105-6211 | 2011-04-14 |
| 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 | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140284 | William K Brokken | Dermatology | 504 W Pueblo St, Ste 202, Santa Barbara, CA 93105-6211 | 2005-08-02 |
| 1952413718 | Arnold Medved | Dermatology | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-08-31 |
| 1043211907 | William K Brokken | Dermatology | 504 W Pueblo St, Ste 202, Santa Barbara, CA 93105-6211 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
| 1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
| 1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
| 1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
| 1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
| 1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
| 1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
| 1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
| 1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
Please comment or provide details below to improve the information on BRYAN GAMMON.
| 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.