ADVANCED AESTHETIC DERMATOLOGY (NPI# 1568527893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568527893 |
| Entity Type | Organization |
| Organization Name | ADVANCED AESTHETIC DERMATOLOGY |
| Other Organization Name | CORPORATION |
| Practice Address |
14651 So Bascom Ave 200 Los Gatos CA 95032 |
| Practice Telephone | 4083585757 |
| Practice Fax Number | 4083588951 |
| Mailing Telephone | 4083585757 |
| Mailing Fax Number | 4083588951 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | MR. PATRICK HENRY BITTER JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4083585757 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G50914 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Corporation | Other Name - Individual/Organization |
| Street Address |
14651 SO BASCOM AVE 200 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| 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 |
|---|---|---|---|---|
| 1538719844 | Carlos Eduardo Sandoval | Dermatology | 800 Pollard Rd Ste A, Los Gatos, CA 95032-1432 | 2019-09-18 |
| 1750550968 | Bruce M Saal, Md, Inc | Dermatology | 777 Pollard Rd, Suite 16, Los Gatos, CA 95032 | 2008-02-22 |
| 1801931068 | Patrick Henry Bitter Sr. | Dermatology | 14651 So Bascom Ave, #200, Los Gatos, CA 95032 | 2007-02-21 |
| 1588722680 | Iris Gin | Dermatology | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2006-12-04 |
| 1609960103 | Leon Lubianker Md Inc | Dermatology | 14525 S Bascom Avenue, Los Gatos, CA 95032 | 2006-10-02 |
| 1073612867 | Bruce M Saal | Dermatology | 777 Knowles Dr. #16, Los Gatos, CA 95032 | 2006-09-21 |
| 1356366702 | Christopher P Schmidt | Dermatology | 15215 National Ave Ste 204, Los Gatos, CA 95032-2425 | 2006-07-13 |
| 1609810787 | Kenneth Ames Miller | Dermatology | 14527 S Bascom Ave, Los Gatos, CA 95032-2003 | 2006-06-16 |
| 1326046921 | Michael Brodin | Dermatology | 16400 Soda Springs Rd, Los Gatos, CA 95033-8621 | 2005-07-08 |
| 1326479650 | Carolyn Tongson | Dermatology | 800 Pollard Rd, Bldg A, Los Gatos, CA 95032-1415 | 2013-12-12 |
| Find all providers in LOS GATOS | ||||
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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.