Provider Type Icon

J ROBERT WEST M.D. INC NPI 1932154788


NPI Information

NPI: 1932154788
Provider Name: J ROBERT WEST, M.D., INC

Doing Business As: SOUTHERN CALIFORNIA DERMATOLOGY

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
12700 PARK CENTRAL DR STE 1210
DALLAS, TX
ZIP 75251
Phone: (702) 360-2763
Get Directions

J ROBERT WEST, M.D., INC is a procedural dermatology dermatology in Dallas, TX. 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). J ROBERT WEST, M.D., INC NPI is 1932154788. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern California Dermatology.

The provider's business location address is:

12700 PARK CENTRAL DR STE 1210
DALLAS, TX
ZIP 75251-522
Phone: (702) 360-2763
Fax: (949) 783-2880

The provider's authorized official is Lucius Blanchard .
The authorized official title is Owner/physician and has the following contact phone number (702) 360-2763.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 3/26/2024.


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
1207N00000XDermatologyNo
2207NS0135XDermatologyProcedural DermatologyG4302CALIFORNIANo
3207NS0135XDermatologyProcedural DermatologyC53342CALIFORNIAYes
4207ZD0900XPathologyDermatopathologyG4302CALIFORNIANo
5207ZD0900XPathologyDermatopathologyC53342CALIFORNIANo
6332900000XNon-Pharmacy Dispensing SiteNo

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
1CG5410OTHERNEVADARAILROAD MEDICARE
2ZZZ24828ZOTHERCALIFORNIABLUE SHIELD PROVIDER NUMB
3ZZZ24833ZOTHERCALIFORNIABLUE SHIELD PROVIDER NUMB
4CA7620OTHERCALIFORNIARAILROAD MEDICARE
5CD5363OTHERCALIFORNIARAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.