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DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP NPI 1083825947


NPI Information

NPI: 1083825947
Provider Name: DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 05D0615781

Address:
5340 ELVAS AVE
SUITE 600
SACRAMENTO, CA
ZIP 95819
Phone: (916) 739-1505
Get Directions

DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP is a procedural dermatology dermatology in Sacramento, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP NPI is 1083825947. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5340 ELVAS AVE
SUITE 600
SACRAMENTO, CA
ZIP 95819-345
Phone: (916) 739-1505
Fax: (916) 739-1426

The provider's authorized official is Lawrence J Bass .
The authorized official title is President and has the following contact phone number (916) 739-1505.

The CLIA number assigned to this NPI record is 05D0615781 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 12/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyG36407CALIFORNIANo
2207NS0135XDermatologyProcedural DermatologyA55877CALIFORNIANo
3207NS0135XDermatologyProcedural DermatologyC34793CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A46675MEDICARE UPINCALIFORNIA
2A35730MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIALAWRENCE J BASS MD
3G27659MEDICARE UPINCALIFORNIA
4A35730MEDICARE UPINCALIFORNIA
51609952860OTHERCALIFORNIANPI- MARGARET PARSONS MD
61518043777OTHERCALIFORNIANPI- LAYNE HERSH MD
71447340849OTHERCALIFORNIANPI - LAWRENCE J. BASS MD
8G27659MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADR MARGARET PARSONS
9A46675MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADR LAYNE HERSH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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