COASTAL VALLEY DERMATOLOGY ASSOCIATES, INC
NPI 1023311172
Dermatology in Monterey, CA
About Coastal Valley Dermatology Associates, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL VALLEY DERMATOLOGY ASSOCIATES, INC (NPI 1023311172) is a healthcare organization registered as a dermatology in Monterey, California and active in the NPI registry since December 2010. The organization lists Roya Javid, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastal Valley Dermatology Associates, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Valley Dermatology Associates, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 05D2025892
Coastal Valley Dermatology Associates Inc · Monterey, CAFrequently 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 Coastal Valley Dermatology Associates, Inc's NPI number?
The NPI number for Coastal Valley Dermatology Associates, Inc is 1023311172. It was assigned to this organization in the NPPES registry on December 13, 2010.
Where is Coastal Valley Dermatology Associates, Inc located?
Coastal Valley Dermatology Associates, Inc is located at 757 Pacific St Ste C3, Monterey, CA 93940. The listed phone number is (831) 293-8458.
What is Coastal Valley Dermatology Associates, Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Coastal Valley Dermatology Associates, Inc enrolled in Medicare?
Yes. Coastal Valley Dermatology Associates, Inc is registered in the Medicare PECOS enrollment system.
When is Coastal Valley Dermatology Associates, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Coastal Valley Dermatology Associates, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Coastal Valley Dermatology Associates, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Coastal Valley Dermatology Associates, Inc was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Coastal Valley Dermatology Associates, Inc · NPI 1023311172
Dermatology organization in Monterey, California. Organization record, active in the CMS NPPES registry since December 13, 2010.
## Identity
- **NPI:** 1023311172 (Entity type: Organization)
- **Enumerated:** December 13, 2010
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Roya Javid, PRESIDENT
## Practice location
- **Address:** 757 PACIFIC ST STE C3, Monterey, CA 93940-2819
- **Phone:** (831) 293-8458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1023311172) · Data from the CMS NPPES public registry.