ADVANCED DERMATOLOGY & SKIN CANCER SPECIALISTS (NPI# 1881023927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881023927 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY & SKIN CANCER SPECIALISTS |
| Practice Address |
31720 Temecula Pkwy Suite #203 Temecula CA 92592-5802 |
| Practice Telephone | 9513036900 |
| Practice Fax Number | 9513032900 |
| Mailing Telephone | 9513036900 |
| Mailing Fax Number | 9513032900 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | DR. JESSE DAVID MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 9513036900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
31720 TEMECULA PKWY SUITE #203 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92592-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083914 | Laura J Cannaday | Physical Therapist | 31720 Temecula Pkwy, Suite 101, Temecula, CA 92592-5895 | 2005-12-13 |
| 1013467950 | Krystina Carcone | Physician Assistant | 31720 Temecula Pkwy, Temecula, CA 92592-5802 | 2016-10-04 |
| 1437589421 | Kristin Fischer | Physical Therapist | 31720 Temecula Pkwy, Suite 101, Temecula, CA 92592-5802 | 2013-11-12 |
| 1942649801 | Kristin Nicole Oelschlegal | Physical Therapist | 31720 Temecula Pkwy, Suite 101, Temecula, CA 92592-5802 | 2013-06-24 |
| 1447596507 | Emily M. Bartelt | Physical Therapist | 31720 Temecula Pkwy, Suite 101, Temecula, CA 92592-5802 | 2012-12-18 |
| 1750670295 | Heart Institute of Southern California, Apmc | Internal Medicine | 31720 Temecula Pkwy, Suite 200, Temecula, CA 92592-5895 | 2011-04-05 |
| 1356664890 | Tania Ponce | Physician Assistant | 31720 Temecula Pkwy, Suite 200, Temecula, CA 92592-5895 | 2010-03-11 |
| 1669617338 | Raelynn Denise Nutt | Physical Therapist | 31720 Temecula Pkwy, Suite 101, Temecula, CA 92592-5895 | 2008-12-10 |
| 1801044607 | Christina Shaw | Physician Assistant | 31720 Temecula Pkwy, Temecula, CA 92592-5895 | 2008-09-04 |
| 1124275847 | Debra Lynn Gromacki-blyth | Physician Assistant | 31720 Temecula Pkwy, Suite 203, Temecula, CA 92592-5802 | 2008-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
| 1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
| 1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
| 1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
| 1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
| 1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
| Find all providers in zip 92592 | ||||
| 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 |
|---|---|---|---|---|
| 1588054431 | Kurlan Dermatology Medical Center, Inc | Dermatology | 31515 Rancho Pueblo Rd Ste 201, Temecula, CA 92592-4837 | 2015-01-30 |
| 1215451588 | Stacey Spehalski | Dermatology | 31720 Temecula Pkwy Ste 200, Temecula, CA 92592-5895 | 2017-07-28 |
| 1306991625 | John T Shen Md, Corp | Dermatology | 27403 Ynez Rd, Suite 106, Temecula, CA 92591-5603 | 2007-01-25 |
| 1285671024 | Julia G Kurlan | Dermatology | 31515 Rancho Pueblo Rd, Ste 201, Temecula, CA 92592-4837 | 2006-06-01 |
| 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 |
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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.