WEST DERMATOLOGY OF NORTHERN CALIFORNIA, INC (NPI# 1568523793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568523793 |
| Entity Type | Organization |
| Organization Name | WEST DERMATOLOGY OF NORTHERN CALIFORNIA, INC |
| Practice Address |
1444 Florida Ave Suite 201 Modesto CA 95350-4400 |
| Mailing Address |
101 E Redlands Blvd Suite 212 Redlands CA 92373-4775 |
| Practice Telephone | 2095264384 |
| Practice Fax Number | 2095264385 |
| Mailing Telephone | 9093358649 |
| Mailing Fax Number | 9093351994 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | DR. J ROBERT WEST SR. (PRESIDENT) |
| Authorized Official Telephone | 9093358649 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | DF6859 | 01 |
| Street Address |
1444 FLORIDA AVE SUITE 201 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427944 | Daniel Jerome Trozak | Dermatology | 1444 Florida Ave, Ste 201, Modesto, CA 95350-4400 | 2005-06-17 |
| 1821659996 | Shirley Tahira Perez | Case Manager/Care Coordinator | 1444 Florida Ave, Modesto, CA 95350-4400 | 2019-06-27 |
| 1356813182 | Mike Angel Lopez | Case Manager/Care Coordinator | 1444 Florida Ave, Modesto, CA 95350-4400 | 2018-12-18 |
| 1508362005 | Shelby N Campbell | Case Manager/Care Coordinator | 1444 Florida Ave, Modesto, CA 95350-4400 | 2018-04-03 |
| 1275051393 | Melinda Sue Nguyen | Case Manager/Care Coordinator | 1444 Florida Ave, Suite 201, Modesto, CA 95350 | 2017-09-08 |
| 1972042752 | Jasmine Rodriguez | Social Worker | 1444 Florida Ave, Suite 201, Modesto, CA 95350-4400 | 2017-02-14 |
| 1295035046 | Jessica Krigbaum | Nurse Practitioner | 1444 Florida Ave, Suite 201, Modesto, CA 95350-4400 | 2010-10-27 |
| 1952567489 | Cornerstone Family Medical Group, A Professional Corporation | Family Medicine | 1444 Florida Ave, Suite 202, Modesto, CA 95350-4400 | 2008-08-04 |
| 1487719241 | Jennifer Joyce Currie | Advanced Practice Midwife | 1444 Florida Ave, Ste. 101, Modesto, CA 95350-4400 | 2006-12-22 |
| 1619078961 | Daniel J. Trozak, M.d., A.p.c. | Dermatology | 1444 Florida Ave, Suite 201, Modesto, CA 95350-4400 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427944 | Daniel Jerome Trozak | Dermatology | 1444 Florida Ave, Ste 201, Modesto, CA 95350-4400 | 2005-06-17 |
| 1164503496 | Purita Z Villanueva | Dermatology | 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350-5512 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
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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.