NPI Code Detail JSON Logo

1750218954 NPI number — CALIFORNIA DERMATOLOGY INSTITUTE PC

NPI Number: 1750218954
Health Care Provider/Practitioner: CALIFORNIA DERMATOLOGY INSTITUTE PC

Information about “1750218954” NPI (CALIFORNIA DERMATOLOGY INSTITUTE PC) exists in 1750218954 in HTML format HTML  |  1750218954 in plain Text format TXT  |  1750218954 in PDF (Portable Document Format) PDF  |  1750218954 in an XML format XML  formats.

NPI Number : 1750218954 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750218954",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CALIFORNIA DERMATOLOGY INSTITUTE PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3095 OLD CONEJO RD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THOUSAND OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91320-2130",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1201 E OCEAN AVE STE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOMPOC",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93436-7082",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-298-7034",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/04/2026",
    "LastUpdateDate": "05/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EZRA",
    "AuthorizedOfficialFirstName": "NAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "805-222-5803",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332900000X",
        "TaxonomyName": "Non-Pharmacy Dispensing Site",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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