Advanced Skin Clinic & Surgery, PC
NPI 1194028423ActiveOrganization· Dermatology· Upland, CA
Dermatology in Upland, California, registered in NPPES in December 2010. The authorized official on file is Tan Nguyen, MD, Owner. Enrolled in Medicare as dme supplier - physician - dermatology and part b supplier - clinic/group practice.
Overview
| NPI | 1194028423 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2010 |
| Last updated in NPPES | Aug 8, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Dermatology (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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