REBECCA FITZGERALD M.D. , INC.
NPI 1083954226
Dermatology - Procedural Dermatology in Los Angeles, CA

Active since February 25, 2013CLIA 05D2033938 · Waiver
321 N LARCHMONT BLVD, SUITE 906, LOS ANGELES, CA 90004(323) 464-8046 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Fitzgerald M.d. , Inc. NPPES

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

REBECCA FITZGERALD M.D. , INC. (NPI 1083954226) is a healthcare organization registered as a procedural dermatology in Los Angeles, California and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Rebecca Louis Fitzgerald, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1083954226
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameREBECCA FITZGERALD M.D. , INC.
Location Address321 N LARCHMONT BLVD, SUITE 906Los Angeles, CA 90004-3025
Mailing Address321 N Larchmont Blvd, Suite 906Los Angeles, CA 90004-3025 · (323) 464-8046
Organization SubpartNo
Authorized OfficialRebecca Louis FitzgeraldPresident / Ceo · (323) 464-8046
Enumeration DateFebruary 25, 2013
NPI 1083954226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in CA · A49000
Definition
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).
321 N LARCHMONT BLVD, Los Angeles, CA 90004

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2033938

Rebecca Fitzgerald MD · Los Angeles, CA
Active · expires Dec 12, 2027
CLIA Number05D2033938
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorRebecca L. Fitzgerald
Laboratory Phone(323) 464-8046
Laboratory LocationRebecca Fitzgerald MD321 N Larchmont Blvd Ste 906, Los Angeles, CA 90004
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
321 N LARCHMONT BLVD, SUITE 611
LOS ANGELES, CA 90004
Dentist (Pediatric Dentistry)
321 N LARCHMONT BLVD, STE 809
LOS ANGELES, CA 90004
Obstetrics & Gynecology
321 N LARCHMONT BLVD, SUITE 618
LOS ANGELES, CA 90004
Clinic/Center (Ambulatory Surgical)
321 N LARCHMONT BLVD, STE 1021
LOS ANGELES, CA 90004
Pediatrics
321 N LARCHMONT BLVD, SUITE 1020
LOS ANGELES, CA 90004
Physical Therapist
321 N LARCHMONT BLVD, SUITE #825
LOS ANGELES, CA 90004
Physician Assistant
321 N LARCHMONT BLVD, 906
LOS ANGELES, CA 90004
Dentist
321 N LARCHMONT BLVD, SUITE #722
LOS ANGELES, CA 90004

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 Rebecca Fitzgerald M.D. , Inc.'s NPI number?

The NPI number for Rebecca Fitzgerald M.D. , Inc. is 1083954226. It was assigned to this organization in the NPPES registry on February 25, 2013.

Where is Rebecca Fitzgerald M.D. , Inc. located?

Rebecca Fitzgerald M.D. , Inc. is located at 321 N Larchmont Blvd Suite 906, Los Angeles, CA 90004. The listed phone number is (323) 464-8046.

What is Rebecca Fitzgerald M.D. , Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Rebecca Fitzgerald M.D. , Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2033938) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rebecca Fitzgerald M.D. , Inc. was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.