Dehesa Dermatology Inc
NPI 1194518977ActiveOrganization· Dermatology· Clovis, CA
Dermatology in Clovis, California, registered in NPPES in May 2025. The authorized official on file is Luis Alberto Dehesa, MD, Dermatologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194518977 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2025 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Internal Medicine, Rheumatology | 207RR0500X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
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) |
|---|
Other dermatologists in Clovis
- 1629412259
- 1801978457
- 1457656225
- 1952760308