SPADE SKIN CARE MEDICAL INC
NPI 1790225829
Dermatology in Redondo Beach, CA

Active since March 08, 2017
1611 S CATALINA AVE STE L70, REDONDO BEACH, CA 90277(310) 316-1954(310) 504-1739 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spade Skin Care Medical Inc NPPES

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

SPADE SKIN CARE MEDICAL INC (NPI 1790225829) is a healthcare organization registered as a dermatology in Redondo Beach, California and active in the NPI registry since March 2017. The organization lists John O'neil Simmonds, President, as its authorized official.

NPPES Registry Identity

NPI1790225829
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSPADE SKIN CARE MEDICAL INC
Location Address1611 S CATALINA AVE STE L70Redondo Beach, CA 90277-5296
Mailing Address1611 S Catalina Ave Ste L70Redondo Beach, CA 90277-5296 · (310) 316-1954 · Fax (310) 504-1739
Fax(310) 504-1739
Organization SubpartNo
Authorized OfficialJohn O'neil SimmondsPresident · (310) 316-1954
Enumeration DateMarch 8, 2017
NPI 1790225829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A100364
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.
1611 S CATALINA AVE STE L70, Redondo Beach, CA 90277

Other Identifiers 1

Medicare PINCB206988CA

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

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
1611 S CATALINA AVE STE L70
REDONDO BEACH, CA 90277
Nurse Practitioner
1611 S CATALINA AVE STE L70
REDONDO BEACH, CA 90277

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 Spade Skin Care Medical Inc's NPI number?

The NPI number for Spade Skin Care Medical Inc is 1790225829. It was assigned to this organization in the NPPES registry on March 8, 2017.

Where is Spade Skin Care Medical Inc located?

Spade Skin Care Medical Inc is located at 1611 S Catalina Ave Ste L70, Redondo Beach, CA 90277. The listed phone number is (310) 316-1954.

What is Spade Skin Care Medical Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Spade Skin Care Medical Inc was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.