Advanced Dermatology Care, Inc.
NPI 1043536543ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· San Ramon, CA
Surgery, Plastic and Reconstructive Surgery in San Ramon, California, registered in NPPES in April 2010, part of Advanced Dermatology Care, Inc. The authorized official on file is Flora Ting, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043536543 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Dermatology Care, Inc. |
| NPI issued | Apr 9, 2010 |
| Last updated in NPPES | Jun 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | A82266 | CA |
| Dermatology | 207N00000X | A82266 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|