AMERICAN SKIN INSTITUTE INC.
NPI 1023377082
Dermatology in Sherman Oaks, CA

Active since May 11, 2012CLIA 05D0929654 · Certificate of Compliance
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403(818) 907-7546(818) 907-9506 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 8, 2026, Jun 13, 2025 (2 updates tracked since 2025).

About American Skin Institute Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMERICAN SKIN INSTITUTE INC. (NPI 1023377082) is a healthcare organization registered as a dermatology in Sherman Oaks, California and active in the NPI registry since May 2012. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Ilya Reyter, President, as its authorized official.

NPPES Registry Identity

NPI1023377082
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAMERICAN SKIN INSTITUTE INC.
Location Address4836 VAN NUYS BLVDSherman Oaks, CA 91403-2101
Mailing Address4836 Van Nuys BlvdSherman Oaks, CA 91403-2101 · (818) 907-7546 · Fax (818) 907-7546
Fax(818) 907-9506
Organization SubpartNo
Authorized OfficialIlya ReyterPresident · (818) 907-7546
Enumeration DateMay 11, 2012
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1023377082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A79982
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A79982 (CA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License A79982 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License A79982 (CA)
4836 VAN NUYS BLVD, Sherman Oaks, CA 91403

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

American Skin Institute Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to American Skin Institute Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology6
Radiation Oncology4
Nurse Practitioner1
Pathology1

Clinicians, nearest first (12)

Dermatology
NPI 1558456517
4836 VAN NUYS BLVD
Sherman Oaks, CA 91403
(818) 907-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1629496823
4836 VAN NUYS BLVD
Sherman Oaks, CA 91403
(818) 907-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1790426849
4836 VAN NUYS BLVD
Sherman Oaks, CA 91403
(818) 907-7546
✔ PECOSSame address
Dermatology
NPI 1104053743
4836 VAN NUYS BLVD
Sherman Oaks, CA 91403
(818) 907-7546
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689454332
4836 VAN NUYS BLVD
Sherman Oaks, CA 91403
(818) 907-7546
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1033192844
18133 VENTURA BLVD STE 102
Tarzana, CA 91356
(424) 314-7695
✔ PECOS✔ Accepts Medicare4.6 mi
Pathology
NPI 1043228083
2720 W MAGNOLIA BLVD
Burbank, CA 91505
(818) 842-8000
✔ PECOS✔ Accepts Medicare6.4 mi
Radiation Oncology
NPI 1619983343
605 N GARFIELD AVE
Monterey Park, CA 91754
(626) 571-6100
✔ PECOS20 mi
Dermatology
NPI 1205270832
13420 NEWPORT AVE STE G
Tustin, CA 92780
(714) 538-8556
✔ PECOS✔ Accepts Medicare46 mi
Dermatology
NPI 1629465778
1441 AVOCADO AVE STE 708
Newport Beach, CA 92660
(949) 706-7874
✔ PECOS50 mi
Radiation Oncology
NPI 1285600403
610 E ROMIE LN
Salinas, CA 93901
(858) 603-0172
✔ PECOS✔ Accepts Medicare249 mi
Radiation Oncology
NPI 1356500656
1000 JOHNSON FY RD NE
Atlanta, GA 30342
(404) 364-7070
✔ PECOS✔ Accepts Medicare1,947 mi

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 05D0929654

American Skin Institute · Sherman Oaks, CA
Active · expires Nov 30, 2026
CLIA Number05D0929654
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorIlya Reyter
Laboratory Phone(818) 907-7546
Laboratory LocationAmerican Skin Institute4836 Van Nuys Blvd, Sherman Oaks, CA 91403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 American Skin Institute Inc.'s NPI number?

The NPI number for American Skin Institute Inc. is 1023377082. It was assigned to this organization in the NPPES registry on May 11, 2012.

Where is American Skin Institute Inc. located?

American Skin Institute Inc. is located at 4836 Van Nuys Blvd, Sherman Oaks, CA 91403. The listed phone number is (818) 907-7546.

What is American Skin Institute Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is American Skin Institute Inc. enrolled in Medicare?

Yes. American Skin Institute Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through American Skin Institute Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to American Skin Institute 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 (6), Radiation Oncology (4) and Nurse Practitioner (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does American Skin Institute Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0929654) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Skin Institute Inc. was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.