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AK DERM CORP
NPI 1013475805
Dermatology in Encino, CA

Active since March 11, 2019
16030 VENTURA BLVD STE 100, ENCINO, CA 91436(949) 412-6011 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ak Derm Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AK DERM CORP (NPI 1013475805), doing business as Skinwell Dermatology, is a healthcare organization registered as a dermatology in Encino, California and active in the NPI registry since March 2019. The organization lists Ava Khosraviani, President, as its authorized official.

NPPES Registry Identity

NPI1013475805
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAK DERM CORP
Location Address16030 VENTURA BLVD STE 100Encino, CA 91436-2754
Mailing Address15526 Aqua Verde DrLos Angeles, CA 90077-1504
Phone(949) 412-6011
Organization SubpartNo
Authorized OfficialAva KhosravianiPresident · (949) 412-6011
Enumeration DateMarch 11, 2019
✔ NPI 1013475805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
16030 VENTURA BLVD STE 100, Encino, CA 91436
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Other Names 1

Doing Business AsSkinwell Dermatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ak Derm Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ak Derm Corp, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ava Khosraviani, M.D.
Dermatology
NPI 1578717401
191 S BUENA VISTA ST SUITE 475
Burbank, CA 91505
(818) 842-8000
✔ PECOS✔ Accepts Medicare8.6 mi
Soheil Simzar, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1780881797
2021 SANTA MONICA BLVD SUITE 600E
Santa Monica, CA 90404
(310) 828-2282
✔ PECOS✔ Accepts Medicare8.7 mi
Stacey Pun, MD
Dermatology
NPI 1851763783
1127 WILSHIRE BLVD STE 600
Los Angeles, CA 90017
(213) 278-0021
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ak Derm Corp's NPI number?

The NPI number for Ak Derm Corp is 1013475805. It was assigned to this organization in the NPPES registry on March 11, 2019. The provider is doing business as skinwell dermatology.

Where is Ak Derm Corp located?

Ak Derm Corp is located at 16030 Ventura Blvd Ste 100, Encino, CA 91436. The listed phone number is (949) 412-6011.

What is Ak Derm Corp's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ak Derm Corp enrolled in Medicare?

Yes. Ak Derm Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ak Derm Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ak Derm Corp, in Dermatology and Micrographic Dermatologic Surgery (MDS). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ak Derm Corp was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.