SHALA RAHBAR FARDIN (NPI# 1720114432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720114432 |
| Entity Type | Individual |
| Full Name | SHALA RAHBAR FARDIN |
| Other Name | SHALA RAHBAR |
| Credential | MD |
| Practice Address |
2330 Marinship Way Ste 370 Sausalito CA 94965-2853 |
| Practice Telephone | 4158879758 |
| Practice Fax Number | 4158879763 |
| Mailing Telephone | 4158879758 |
| Mailing Fax Number | 4158879763 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A98841 | CA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | P-230971 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2330 MARINSHIP WAY STE 370 |
| City | SAUSALITO |
| State | CA |
| Zip Code | 94965-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676908 | Suzanne L Westphal | Dermatology | 2330 Marinship Way Ste 370, Sausalito, CA 94965-2853 | 2005-08-16 |
| 1750701736 | Elisabeth G Neal-novak | Dermatology | 2330 Marinship Way Ste 370, Sausalito, CA 94965 | 2014-04-17 |
| 1275567323 | Holly Louise Christman | Dermatology | 2330 Marinship Way Ste 370, Sausalito, CA 94965 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369423 | Claire Myers | Counselor | 630 Drake Avenue, Csd Building, Marin City, CA 94965 | 2019-07-24 |
| 1750624797 | 10 Minute Fitness Inc. | Durable Medical Equipment & Medical Supplies | 3 Harbor Dr. #112, Sausalito, CA 94965 | 2013-03-28 |
| 1548590169 | Jeffrey James Kacirk | Chiropractor | 80 Harrison Ave, #6, Sausalito, CA 94965 | 2010-01-04 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1811020688 | Parvaneh Bairami | Registered Nurse | 2400 Bridgeway, Suite 200, Sasaulito, CA 94965 | 2007-03-13 |
| 1518027671 | Helen Chandler | Registered Nurse | 13 Braun Court, Sausalito, CA 94965 | 2006-12-11 |
| 1407916224 | Marcus H Small | Marriage & Family Therapist | 639 Drake Ave., Marin City, CA 94965 | 2006-12-11 |
| 1710068085 | Aida C Miles | Dietitian, Registered | 7 Cloudview Trail, Sausalito, CA 94965 | 2006-10-17 |
| 1942308515 | Nancy S. Hollis | Chiropractor | 3a Gate 5 Road, Sausalito, CA 94965 | 2006-09-20 |
| 1205947702 | Edwin J Zinman | Dentist | 220 Bush St, 1600, San Francisco, CA 94965 | 2006-08-31 |
| Find all providers in zip 94965 | ||||
| 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 |
|---|---|---|---|---|
| 1053579979 | Ashley Ann Smith | Dermatology | 2330 Marinship Way, Suite 370, Sausalito, CA 94965-2800 | 2008-05-28 |
| 1780676908 | Suzanne L Westphal | Dermatology | 2330 Marinship Way Ste 370, Sausalito, CA 94965-2853 | 2005-08-16 |
| 1750701736 | Elisabeth G Neal-novak | Dermatology | 2330 Marinship Way Ste 370, Sausalito, CA 94965 | 2014-04-17 |
| 1487090924 | Southern Marin Dermatology, Inc. | Dermatology | 2330 Marinship Way, Suite 370, Sausalito, CA 94965-2853 | 2013-05-10 |
| 1275567323 | Holly Louise Christman | Dermatology | 2330 Marinship Way Ste 370, Sausalito, CA 94965 | 2006-07-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.