SPECTRUM DERMATOLOGY AND ASSOCIATES – NPI #1194750661
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

SPECTRUM DERMATOLOGY AND ASSOCIATES is a dermatologist located in MONTEREY, CA. NPPES has assigned the NPI number 1194750661 to SPECTRUM DERMATOLOGY AND ASSOCIATES on July 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPECTRUM DERMATOLOGY AND ASSOCIATES” is a dba name, the actual legal business name for this organization is SPECTRUM DERMATOLOGY MEDICAL ASSOCS CORP.. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 17 years ago on May 22, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECTRUM DERMATOLOGY AND ASSOCIATES below.

NPI Profile for
SPECTRUM DERMATOLOGY MEDICAL ASSOCS CORP.

NPI Number
1194750661
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECTRUM DERMATOLOGY MEDICAL ASSOCS CORP.
Doing Business As (dba): SPECTRUM DERMATOLOGY AND ASSOCIATES
Primary location
665 MUNRAS AVE
SUITE 200
MONTEREY, CA 93940-3134
Phone: (831) 372-6900 Fax: (831) 372-0266
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACOB LO
PRESIDENT
Phone: (831) 372-6900
Updated
Identifiers

Identifiers for SPECTRUM DERMATOLOGY AND ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPICA1831131069
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)		 CA A46142

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.