Raincross Medical Center of Dermatology and Cosmetic Surgery, Inc
NPI 1588612816ActiveOrganization· Dermatology, Procedural Dermatology· Riverside, CA
Dermatology, Procedural Dermatology in Riverside, California, registered in NPPES in May 2006. The authorized official on file is Ethan Quan Nguyen, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588612816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Aug 1, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Procedural Dermatology Primary | 207NS0135X | G77748 | CA |
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) |
|---|
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