Spade Skin Care Medical Inc
NPI 1790225829ActiveOrganization· Dermatology· Redondo Beach, CA
Dermatology in Redondo Beach, California, registered in NPPES in March 2017. The authorized official on file is John O'Neil Simmonds, M.D., President.
Overview
| NPI | 1790225829 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2017 |
| Last updated in NPPES | Mar 8, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | A100364 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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