DERMATOLOGY CENTER OF THE EAST BAY, INC.
NPI 1013791342
Dermatology in Oakland, CA
About Dermatology Center Of The East Bay, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY CENTER OF THE EAST BAY, INC. (NPI 1013791342) is a healthcare organization registered as a dermatology in Oakland, California and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Lafayette and lists Julia Graves, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Center Of The East Bay, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Dermatology Center Of The East Bay, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dermatology Center Of The East Bay, Inc.'s NPI number?
The NPI number for Dermatology Center Of The East Bay, Inc. is 1013791342. It was assigned to this organization in the NPPES registry on August 18, 2023.
Where is Dermatology Center Of The East Bay, Inc. located?
Dermatology Center Of The East Bay, Inc. is located at 3300 Webster St Ste 509, Oakland, CA 94609. The listed phone number is (510) 452-0330.
What is Dermatology Center Of The East Bay, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Center Of The East Bay, Inc. enrolled in Medicare?
Yes. Dermatology Center Of The East Bay, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Center Of The East Bay, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Center Of The East Bay, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (3) and Nurse Practitioner (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dermatology Center Of The East Bay, Inc. was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dermatology Center Of The East Bay, Inc. · NPI 1013791342
Dermatology organization in Oakland, California. Organization record, active in the CMS NPPES registry since August 18, 2023.
## Identity
- **NPI:** 1013791342 (Entity type: Organization)
- **Enumerated:** August 18, 2023
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Julia Graves, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 3300 WEBSTER ST STE 509, Oakland, CA 94609-3149
- **Phone:** (510) 452-0330 · **Fax:** (510) 275-0851
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (3), Nurse Practitioner (2); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1013791342) · Data from the CMS NPPES public registry.