Organization · Type 2 NPI

California Dermatology Institute PC

Non-Pharmacy Dispensing Site · Northridge, CA

NPI number 1316650047 Active

Practice location

18433 Roscoe Blvd Ste 104
Northridge, CA 91325-4127

Call (888) 367-1850 Map

Mailing address

3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130

Other practice locations

18433 Roscoe Blvd Ste 101, Northridge, CA 91325-4122 · (888) 367-1850

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5 other providers at this address

Other non-pharmacy dispensing site providers in Northridge

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NPI record

NPI: 1316650047
Entity type: Organization (Type 2)
Issued: Dec 27, 2022
Last updated: Oct 29, 2025
Status: Active

Other names

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California Dermatology Institute · doing business as
California Dermatology Institute · doing business as

Authorized official

Navid Ezra
Owner
(888) 367-1850

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316650047

California Dermatology Institute PC's National Provider Identifier is 1316650047, issued on Dec 27, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Northridge, CA. The record was last updated on Oct 29, 2025.