DERMATOLOGY ASSOICATES MEDCIAL GROUP
NPI 1518066141
Dermatology - Procedural Dermatology in Beverly Hills, CA

NPI Status: Active since September 21, 2006

Contact Information

465 N ROXBURY DR STE 803
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 274-9954
Fax: (310) 274-9450

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • CLIA Number: 05D0546501
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About DERMATOLOGY ASSOICATES MEDCIAL GROUP

This page provides the complete NPI Profile along with additional information for Dermatology Assoicates Medcial Group, a provider established in Beverly Hills, California operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1518066141 assigned on September 2006. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Dermatology Assoicates Medcial Group. The authorized official of this NPI record is Mrs. Maria E Anzaldo (Office Manager)

NPI
1518066141
Provider Legal Name
LAWRENCE RIVKIN MD A MED CORP
Other Organization Name
DERMATOLOGY ASSOICATES MEDCIAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
465 N ROXBURY DR STE 803 BEVERLY HILLS, CA 90210
Location Phone
(310) 274-9954
Location Fax
(310) 274-9450
Mailing Address
465 N ROXBURY DR STE 803 BEVERLY HILLS, CA 90210
Mailing Phone
(310) 274-9954
Mailing Fax
(310) 274-9450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2006
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIA E ANZALDO

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(310) 274-9954

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G56013OTHER (01)CASTATE LICENSE
G76489OTHER (01)CASTATE LICENSE
WC34985BOTHER (01)CAMEDICARE PROVIDER #
C34985OTHER (01)CASTATE LICENSE
W11012OTHER (01)CAGROUP # MEDICARE
G042740OTHER (01)CASTATE LICENSE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0546501
Facility Type
Physician Office
Certificate Effective Date
June 08, 2023
Certificate Expiration Date
October 31, 2025
Laboratory Director
DR. WENDY HOFFMAN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Dermatology Assoicates Medcial Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518066141, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 0 + 6 + 1 + 2 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1518066141.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dermatology (Procedural Dermatology)
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA 90210
Physician Assistant
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA 90210
Dermatology (Procedural Dermatology)
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA 90210
Specialist
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA 90210
Specialist
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA 90210
Specialist
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA 90210
Dermatology
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA 90210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518066141, enumerated as an "organization" on September 21, 2006.

The provider is located at 465 N ROXBURY DR STE 803 BEVERLY HILLS, CA 90210 and the phone number is (310) 274-9954.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.