1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Dermatology
  6. NPI Profile

COMPREHENSIVE DERMATOLOGY OF LONG BEACH PC
NPI 1720356827
Dermatology in Long Beach, CA

Active since December 05, 2011CLIA 05D2042650 · Certificate of Compliance
3736 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90807(562) 256-9929(562) 256-9946 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Comprehensive Dermatology Of Long Beach Pc NPPES

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

COMPREHENSIVE DERMATOLOGY OF LONG BEACH PC (NPI 1720356827) is a healthcare organization registered as a dermatology in Long Beach, California and active in the NPI registry since December 2011. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Jill H Javahery, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1720356827
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOMPREHENSIVE DERMATOLOGY OF LONG BEACH PC
Location Address3736 ATLANTIC AVE, SUITE 101Long Beach, CA 90807-3492
Mailing Address3736 Atlantic Ave, Suite 101Long Beach, CA 90807-3492 · (562) 256-9929 · Fax (562) 256-9946
Phone(562) 256-9929
Fax(562) 256-9946
Organization SubpartNo
Authorized OfficialJill H JavaheryOwner/president · (562) 256-9929
Enumeration DateDecember 5, 2011
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1720356827 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.
3736 ATLANTIC AVE, Long Beach, CA 90807
Open in Google Maps ↗

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)

Comprehensive Dermatology Of Long Beach Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Comprehensive Dermatology Of Long Beach PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Katie Osley, M.D.
Dermatology
NPI 1043535776
3736 ATLANTIC AVE STE 101
Long Beach, CA 90807
(562) 256-9929
✔ PECOS✔ Accepts MedicareSame address
Elana Putterman, MD
Dermatology
NPI 1093277394
3736 ATLANTIC AVE STE 101
Long Beach, CA 90807
(562) 256-9929
✔ PECOS✔ Accepts MedicareSame address
Nancy Samolitis, M.D.
Dermatology
NPI 1164688230
3736 ATLANTIC AVE SUITE 101
Long Beach, CA 90807
(562) 256-9929
✔ PECOS✔ Accepts MedicareSame address
Jill Javahery, M.D.
Dermatology
NPI 1568647022
3918 LONG BEACH BLVD STE 200
Long Beach, CA 90807
(562) 997-1144
✔ PECOS✔ Accepts Medicare0.4 mi
Reyhaneh Hamidi, MD
Dermatology
NPI 1144470162
4201 TORRANCE BLVD SUITE 640
Torrance, CA 90503
(310) 543-4444
✔ PECOS✔ Accepts Medicare10 mi
Ali Golshan, M.D.
Interventional Radiology
NPI 1114183993
416 N BEDFORD DR STE 306
Beverly Hills, CA 90210
(310) 974-8767
✔ PECOS✔ Accepts Medicare21 mi
Jackelyn Beshir, M.D.
Dermatology
NPI 1174935670
2001 SANTA MONICA BLVD STE 1070
Santa Monica, CA 90404
(310) 917-3376
✔ PECOS✔ Accepts Medicare22 mi
Charles Raker, MD
Diagnostic Radiology
NPI 1427091586
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 239-4322
✔ PECOS✔ Accepts Medicare354 mi
Dennis Nguyen, M.D.
Dermatology
NPI 1740482603
10725 INTERNATIONAL DR DEPARTMENT OF DERMATOLOGY - MOHS SURGERY
Rancho Cordova, CA 95670
(916) 631-3010
✔ PECOS✔ Accepts Medicare371 mi

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

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 05D2042650

Comprehensive Dermatology Of Long Beach · Long Beach, CA
Active · expires Nov 30, 2026
CLIA Number05D2042650
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorJill H. Javahery
Laboratory Phone(562) 256-9929
Laboratory LocationComprehensive Dermatology Of Long Beach3736 Atlantic Ave Ste 101, Long Beach, CA 90807
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.

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 Comprehensive Dermatology Of Long Beach PC's NPI number?

The NPI number for Comprehensive Dermatology Of Long Beach PC is 1720356827. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Comprehensive Dermatology Of Long Beach PC located?

Comprehensive Dermatology Of Long Beach PC is located at 3736 Atlantic Ave Suite 101, Long Beach, CA 90807. The listed phone number is (562) 256-9929.

What is Comprehensive Dermatology Of Long Beach PC's specialty?

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

Is Comprehensive Dermatology Of Long Beach PC enrolled in Medicare?

Yes. Comprehensive Dermatology Of Long Beach PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comprehensive Dermatology Of Long Beach PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Comprehensive Dermatology Of Long Beach PC. 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. The largest specialties are Dermatology (7), Diagnostic Radiology (1) and Interventional Radiology (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Comprehensive Dermatology Of Long Beach PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2042650) is associated with this NPI, valid through November 30, 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 Comprehensive Dermatology Of Long Beach PC was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.