- Practice location
- 16100 NW Cornell RD Ste 100, Beaverton, OR 97006-7369
- Phone
- 805-298-7034
- Fax
- 805-298-7139
- Last updated
- July 9, 2024
California Dermatology Institute PC is a healthcare organization based in Beaverton, OR. California Dermatology Institute PC practices in Beaverton, OR. The NPI Number for California Dermatology Institute PC is 1437996436. The current practice location address for California Dermatology Institute PC is 16100 NW Cornell RD Ste 100, Beaverton, OR 97006-7369 and can be reached out via phone at 805-298-7034 and via fax at 805-298-7139.
Provider Profile Details
- NPI Number
- 1437996436
- Provider Name
- California Dermatology Institute PC
- Provider Entity Type
- Organization
- Address
- 16100 NW Cornell RD Ste 100, Beaverton, OR 97006-7369
- Phone Number
- 805-298-7034
- Fax Number
- 805-298-7139
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- No
- Authorized Official
- Navid Ezra · Owner · 805-222-5803
- Other Names
- California Dermatology Institute (Doing Business As)
- Provider Enumeration Date
- July 9, 2024
- Last Update Date
- July 9, 2024
- Certification Date
- July 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16100 NW Cornell RD Ste 100
Beaverton, OR 97006-7369 - City
- Beaverton
- State
- Oregon
- Zip
- 97006-7369
- Phone Number
- 805-298-7034
- Fax Number
- 805-298-7139
Provider Business Mailing Address Details
- Address
- 3095 Old Conejo RD Ste 200
Thousand Oaks, CA 91320-2130 - City
- Thousand Oaks
- State
- CA
- Zip
- 91320-2130
- Phone Number
- 805-298-7034
License Information
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of California Dermatology Institute PC?
The NPI number of California Dermatology Institute PC is 1437996436. It was assigned on July 9, 2024 and is currently active in the NPPES registry.
What is the specialty of California Dermatology Institute PC?
California Dermatology Institute PC is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X).
Where does California Dermatology Institute PC practice?
The practice location is 16100 NW Cornell RD Ste 100, Beaverton, OR 97006-7369. The office can be reached at 805-298-7034 (phone) or 805-298-7139 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437996436 directly on the NPPES registry website.