STEPHANIE JEANNE MARTIN (NPI# 1891053419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891053419 |
| Entity Type | Individual |
| Full Name | STEPHANIE JEANNE MARTIN |
| Credential | M.D. |
| Practice Address |
16260 Ventura Blvd Encino CA 91436-2203 |
| Practice Telephone | 8187884022 |
| Mailing Telephone | 8187884022 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A122824 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1568833275 | Stephanie K Martin | Acupuncturist | 1549 Josephine St, Berkeley, CA 94703-1168 | 2015-10-08 |
| 1851728158 | Stephanie Martin | Marriage & Family Therapist | 314 17th Ave N, Hopkins, MN 55343-7343 | 2013-10-01 |
| 1740523703 | Stephanie Nicole Martin | Technician | 8791 Hammerly Blvd Apt 128, Houston, TX 77080-6658 | 2013-03-28 |
| 1952661860 | Stephanie M Martin | Massage Therapist | 6066 Highway 291, Nine Mile Falls, WA 99026-5008 | 2012-05-24 |
| 1457675910 | Stephanie Martin | Occupational Therapist | 1430 E Madison St, South Bend, IN 46617-2427 | 2010-03-26 |
| 1720218241 | Stephanie Martin | Specialist | 4660 Highway 1275 N, Monticello, KY 42633-7241 | 2009-07-17 |
| 1801056213 | Stephanie Martin | Case Manager/Care Coordinator | 14343 White Cross Dr, Houston, TX 77083 | 2008-06-10 |
| 1295910123 | Stephanie Anne Martin | Audiologist | 983 Nw Spruce Ave, Corvallis, OR 97330-2111 | 2008-01-09 |
| 1205025384 | Stephanie A Martin | Social Worker | 2702 Flushing Rd, Flint, MI 48504-4534 | 2007-10-15 |
| Street Address |
16260 VENTURA BLVD |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254659 | Advanced Sleep Medicine Services Inc | Clinic/Center | 16260 Ventura Blvd, Suite 700, Encino, CA 91436-2203 | 2005-09-02 |
| 1003452863 | Gelbert G De Guzman | Occupational Therapy Assistant | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2019-11-26 |
| 1700376571 | Ardeshir Pooshpas | Nurse Practitioner | 16260 Ventura Blvd, Encino, CA 91436 | 2018-05-16 |
| 1497270987 | Anastasia Andrew | Family Medicine | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2017-08-07 |
| 1487101069 | Great Beginnings Surgery Center LLC | Clinic/Center | 16260 Ventura Blvd, Suite 220, Encino, CA 91436 | 2016-09-01 |
| 1205287364 | Western Fertility Institute, LLC | Specialist | 16260 Ventura Blvd, 210, Encino, CA 91436-2203 | 2016-06-29 |
| 1841640083 | South Pacific Rehab Services | Skilled Nursing Facility | 16260 Ventura Blvd, Suite 60, Encino, CA 91436-2203 | 2016-06-19 |
| 1982052684 | Lia Gedamu | Nurse Practitioner | 16260 Ventura Blvd, Ll-15, Encino, CA 91436-2203 | 2016-06-03 |
| 1477917375 | Felecia Brown | Occupational Therapist | 16260 Ventura Blvd, 600, Encino, CA 91436-2203 | 2016-04-07 |
| 1548621709 | Sara Hoffman | Occupational Therapist | 16260 Ventura Blvd, Encino, CA 91436-2203 | 2016-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
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| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639487713 | Norman A. Brooks, M.d., Inc. | Dermatology | 16311 Ventura Blvd, Suite 690, Encino, CA 91436-2124 | 2010-09-22 |
| 1043545957 | Alex A. Khadavi Md Inc | Dermatology | 16260 Ventura Blvd, Suite 140, Encino, CA 91436-5103 | 2009-10-09 |
| 1326299496 | Dermatology & Laser Medical Ctr Inc | Dermatology | 16260 Ventura Blvd, Suite 140, Encino, CA 91436-2203 | 2008-10-07 |
| 1811002272 | Alex A Khadavi | Dermatology | 16260 Ventura Blvd, Suite 140, Encino, CA 91436-2203 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
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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.