Diamond Bar Dermatology Center
NPI 1578597001ActiveOrganization· Dermatology· Diamond Bar, CA
Dermatology in Diamond Bar, California, registered in NPPES in July 2006. The authorized official on file is Joy Fortich, Billing Manager.
Overview
| NPI | 1578597001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2006 |
| Last updated in NPPES | Dec 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | G044761 | CA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | G044761 | CA |
| Dermatology, Dermatopathology | 207ND0900X | G044761 | CA |
| Dermatology, Pediatric Dermatology | 207NP0225X | G044761 | CA |
| Dermatology, Procedural Dermatology | 207NS0135X | G044761 | 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 |
|---|
Other Dermatology providers in Diamond Bar
- 1538743752
- 1598136384
- 1831148501