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DERMATOLOGY ASSOCIATES OF WESTLAKE
NPI 1265401251
Specialist in Westlake Village, CA

Active since March 14, 2006
1240 S WESTLAKE BLVD, SUITE 205, WESTLAKE VILLAGE, CA 91361(805) 495-0551(805) 496-8079 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dermatology Associates Of Westlake NPPES

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

DERMATOLOGY ASSOCIATES OF WESTLAKE (NPI 1265401251) is a healthcare organization registered as a specialist in Westlake Village, California and active in the NPI registry since March 2006. The organization lists Randolph Capri, Partner, as its authorized official.

NPPES Registry Identity

NPI1265401251
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY ASSOCIATES OF WESTLAKE
Location Address1240 S WESTLAKE BLVD, SUITE 205Westlake Village, CA 91361-1929
Mailing Address1240 S Westlake Blvd, Suite 205Westlake Village, CA 91361-1929 · (805) 495-0551 · Fax (805) 496-8079
Phone(805) 495-0551
Fax(805) 496-8079
Organization SubpartNo
Authorized OfficialRandolph CapriPartner · (805) 495-0551
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 7, 2010
✔ NPI 1265401251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1240 S WESTLAKE BLVD, Westlake Village, CA 91361
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Other Identifiers 2

Other1265401251CA · Npi
Medicare ID-Type UnspecifiedW2694CA · Group Provider Number

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 Compliance 05D0690800

Dermatology Associates Of Westlake · Westlake Village, CA
Expired · Jul 31, 2026
CLIA Number05D0690800
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Gary R. Carlson
Laboratory Phone(805) 495-0551
Laboratory LocationDermatology Associates Of Westlake1240 S Westlake Blvd #205, Westlake Village, CA 91361
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

DAYAMED, INC.
Internal Medicine
1240 S WESTLAKE BLVD, SUITE 137
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 901-9275
THOMAS JINKYU KIM MD
Specialist
1240 S WESTLAKE BLVD, SUITE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551
DR. JAMES S WEINTRAUB MD
Dermatology
1240 S WESTLAKE BLVD, SUITE 102
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 496-7888
MICHAEL ROBERT BASTIEN MD
Specialist
1240 S WESTLAKE BLVD, SUITE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551
STEVEN C. GREENMAN, D.D.S., INC.
Clinic/Center (Dental)
1240 S WESTLAKE BLVD, SUITE 223
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 496-9555
COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.
Radiology (Radiation Oncology)
1240 S WESTLAKE BLVD, SUITE 103
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 494-4483
GARY ROY CARLSON MD
Specialist
1240 S WESTLAKE BLVD, SUITE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551
DR. HOLLY LOUISE RAUSCH M.D.
Dermatology
1240 S WESTLAKE BLVD, SUITE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551

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 Dermatology Associates Of Westlake's NPI number?

The NPI number for Dermatology Associates Of Westlake is 1265401251. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Dermatology Associates Of Westlake located?

Dermatology Associates Of Westlake is located at 1240 S Westlake Blvd Suite 205, Westlake Village, CA 91361. The listed phone number is (805) 495-0551.

What is Dermatology Associates Of Westlake's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology Associates Of Westlake was last updated on September 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.