Dermatology & Laser Center of San Diego
NPI 1457396178ActiveOrganization· Dermatology· Chula Vista, CA
Dermatology in Chula Vista, California, registered in NPPES in June 2006. The authorized official on file is Sara Rosales, Insurance Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457396178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2006 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Specialist | 174400000X | A69750 | CA |
| Specialist | 174400000X | A78399 | CA |
| Specialist | 174400000X | C36597 | CA |
| Specialist | 174400000X | A94658 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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