Advanced Medical and Surgical Dermatology Corporation
NPI 1720370166ActiveOrganization· Dermatology· San Rafael, CA
Dermatology in San Rafael, California, registered in NPPES in May 2011. The authorized official on file is Anya Bandt, M.D., President.
Overview
| NPI | 1720370166 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2011 |
| Last updated in NPPES | May 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | A65185 | CA |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | A65186 | CA |
| Dermatology, Dermatopathology | 207ND0900X | A65186 | CA |
| Dermatology, Clinical & Laboratory Dermatological Immunology | 207NI0002X | A65186 | CA |
| Dermatology, Procedural Dermatology | 207NS0135X | A65186 | 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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