Precision Dermatology, Inc.
NPI 1407198005ActiveOrganization· Dermatology· Sebastopol, CA
Dermatology in Sebastopol, California, registered in NPPES in March 2013, part of Precision Dermatology, Inc. The authorized official on file is Tracy B. Evans, M.D., President.
Overview
| NPI | 1407198005 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Precision Dermatology, Inc. |
| NPI issued | Mar 21, 2013 |
| Last updated in NPPES | Mar 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | A96572 | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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