California Dermatology Institute PC
NPI 1235671389ActiveOrganization· Dermatology· Thousand Oaks, CA
Dermatology in Thousand Oaks, California, registered in NPPES in November 2016. The authorized official on file is Navid Ezra, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - dermatology.
Overview
| NPI | 1235671389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2016 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); DME Supplier - Physician - Dermatology (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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