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BRENTWOOD DERMATOLOGY MEDICAL GROUP INC
NPI 1427089911
Dermatology in Los Angeles, CA

Active since July 05, 2006CLIA 05D0997745 · Certificate of Compliance
11980 SAN VICENTE BLVD, SUITE # 120, LOS ANGELES, CA 90049(310) 826-2051(310) 979-0185 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Brentwood Dermatology Medical Group Inc NPPES

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

BRENTWOOD DERMATOLOGY MEDICAL GROUP INC (NPI 1427089911) is a healthcare organization registered as a dermatology in Los Angeles, California and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 4, 2026 and lists Jack H Silvers, President, as its authorized official.

NPPES Registry Identity

NPI1427089911
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBRENTWOOD DERMATOLOGY MEDICAL GROUP INC
Location Address11980 SAN VICENTE BLVD, SUITE # 120Los Angeles, CA 90049-5012
Mailing Address11980 San Vicente Blvd., Suite # 120Los Angeles, CA 90049 · (310) 826-2051 · Fax (310) 979-0185
Phone(310) 826-2051
Fax(310) 979-0185
Organization SubpartNo
Authorized OfficialJack H SilversPresident · (310) 826-2051
Enumeration DateJuly 5, 2006
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1427089911 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.
11980 SAN VICENTE BLVD, Los Angeles, CA 90049
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D0997745

Brentwood Dermatology Medical Group · Los Angeles, CA
Active · expires Sep 4, 2026
CLIA Number05D0997745
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorJack H. Silvers
Laboratory Phone(310) 826-2051
Laboratory LocationBrentwood Dermatology Medical Group11980 San Vicente Blvd, Ste 120, Los Angeles, CA 90049
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.

DR. DIANA MARCELA MEDINA DDS
Dentist (Oral and Maxillofacial Surgery)
11980 SAN VICENTE BLVD, SUITE 505
LOS ANGELES, CA 90049
Los Angeles County (310) 820-6691
JESSICA SANCHEZ MFT
Marriage & Family Therapist
11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049
Los Angeles County (424) 293-6679
DR. HOPE W LEVIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049
Los Angeles County (310) 494-0108
DR. CAROL ANN MAYHEW PH.D.
Psychologist (Clinical)
11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049
Los Angeles County (310) 207-9902
DR. ANURADHA GOMATHY SESHADRI M.D.
Internal Medicine
11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049
Los Angeles County (310) 208-7777
REGINA PALLY M.D.
Psychologist (Prescribing (Medical))
11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049
Los Angeles County (310) 820-2700
ARCHANA M REDDY MD
Family Medicine
11980 SAN VICENTE BLVD, SUITE 102
LOS ANGELES, CA 90049
Los Angeles County (310) 208-7777
ALAN SPIVAK
Psychologist (Clinical)
11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049
Los Angeles County (310) 826-1494

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 Brentwood Dermatology Medical Group Inc's NPI number?

The NPI number for Brentwood Dermatology Medical Group Inc is 1427089911. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Brentwood Dermatology Medical Group Inc located?

Brentwood Dermatology Medical Group Inc is located at 11980 San Vicente Blvd Suite # 120, Los Angeles, CA 90049. The listed phone number is (310) 826-2051.

What is Brentwood Dermatology Medical Group Inc's specialty?

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

Does Brentwood Dermatology Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0997745) is associated with this NPI, valid through September 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brentwood Dermatology Medical Group Inc was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.