DBA: CALIFORNIA DERMATOLOGY CARE – NPI #1043536543
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

DBA: CALIFORNIA DERMATOLOGY CARE is a surgeon located in SAN RAMON, CA. NPPES has assigned the NPI number 1043536543 to DBA: CALIFORNIA DERMATOLOGY CARE on April 09, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA: CALIFORNIA DERMATOLOGY CARE” is a dba name, the actual legal business name for this organization is ADVANCED DERMATOLOGY CARE, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 12 years ago on Jun 04, 2014. 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 DBA: CALIFORNIA DERMATOLOGY CARE below.

NPI Profile for
ADVANCED DERMATOLOGY CARE, INC.

NPI Number
1043536543
Enumeration Date

(more than 16 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
ADVANCED DERMATOLOGY CARE, INC.
Doing Business As (dba): DBA: CALIFORNIA DERMATOLOGY CARE
Primary location
2262 CAMINO RAMON
SAN RAMON, CA 94583
Phone: (925) 328-0255 Fax: (925) 328-0257
Mailing address
Same as primary location
Organization Subpart
Yes - DBA: CALIFORNIA DERMATOLOGY CARE is subpart of another organization.
Authorized Official
FLORA TING
OFFICE MANAGER
Phone: (925) 328-0255
Updated
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
CA A82266
207N00000X
- Dermatology
CA A82266

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.