Shanthimd Dermatology, Inc.
NPI 1245698752 · Dermatology Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanthimd Dermatology, Inc. is a Dermatology Physician organization in Los Angeles, CA (NPI 1245698752).
Provider details
- NPI number
- 1245698752
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shanthi Colaco, Ceo/Owner(323) 421-4747
- License
- A123314 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shanthimd Dermatology, Inc.
Registry dates
- Enumerated
- 2016-01-29
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Frequently asked questions
- What is Shanthimd Dermatology, Inc.'s NPI number?
- Shanthimd Dermatology, Inc.'s National Provider Identifier (NPI) is 1245698752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shanthimd Dermatology, Inc.?
- Shanthimd Dermatology, Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shanthimd Dermatology, Inc. located?
- Shanthimd Dermatology, Inc.'s practice location on file with NPPES is 2990 S Sepulveda Blvd, Los Angeles, CA 90064-0002.
- What is Shanthimd Dermatology, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shanthimd Dermatology, Inc. is (323) 421-4747.
- Does Shanthimd Dermatology, Inc. accept Medicare?
- Shanthimd Dermatology, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shanthimd Dermatology, Inc.?
- The authorized official listed on Shanthimd Dermatology, Inc.'s NPPES record is Shanthi Colaco, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shanthimd Dermatology, Inc.'s NPI active?
- Yes — Shanthimd Dermatology, Inc.'s NPI (1245698752) is active in the NPPES registry as of the last update on 2024-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.