Southeast Dermatology, P.A.
Southeast Dermatology, P.A. is a healthcare organization registered as Dermatology Physician in Pasadena, TX, holding Type 2 (organization) NPI 1811932205 since 2006. The authorized official on file is Ashkan Ghorbani, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1811932205 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeast Dermatology, P.A. |
| Practice address | 4419 CRENSHAW RD, Pasadena, TX, 77504 |
| Phone | 2819915944 |
| Fax | 2819916849 |
| Enumeration date | 2006-06-18 |
| Last updated in NPPES | 2026-04-21 |
Authorized official
| Name | Ashkan Ghorbani |
|---|---|
| Title | President |
| Phone | 2819915944 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080342101 | Medicaid | TX | — |
Copy-ready billing details
Provider: Southeast Dermatology, P.A. NPI: 1811932205 Taxonomy: 207N00000X (Dermatology Physician) Address: 4419 CRENSHAW RD, Pasadena, TX, 77504
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649276692 | Lawrence Joseph | Individual | Dermatology Physician | Pasadena, TX |
| 1851392039 | Ashkan Ghorbani | Individual | Dermatology Physician | Pasadena, TX |
| 1760484349 | Wendy Magee | Individual | Dermatology Physician | Pasadena, TX |
| 1194709626 | Manuel Davila | Individual | Dermatology Physician | Pasadena, TX |
| 1316905029 | Paula Leis | Individual | Dermatology Physician | Pasadena, TX |
| 1346277381 | Mary Garman | Individual | Dermatology Physician | Pasadena, TX |
| 1912101593 | Matthew Petitt | Individual | Dermatopathology Physician | Pasadena, TX |
| 1104087295 | Elizabeth Petitt | Individual | Family Nurse Practitioner | Pasadena, TX |
Verify this record
Cross-check NPI 1811932205 against the authoritative CMS record: view Southeast Dermatology, P.A. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Southeast Dermatology, P.A.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-21.