DEL MAR DERMATOLOGY MEDICAL CORP
NPI 1043503600
Specialist in Del Mar, CA
About Del Mar Dermatology Medical Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEL MAR DERMATOLOGY MEDICAL CORP (NPI 1043503600) is a healthcare organization registered as a specialist in Del Mar, California and active in the NPI registry since May 2011. The organization lists Agata Marriott, Physician/owner, 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)
Del Mar Dermatology Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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 Del Mar Dermatology Medical Corp, 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.
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 Del Mar Dermatology Medical Corp's NPI number?
The NPI number for Del Mar Dermatology Medical Corp is 1043503600. It was assigned to this organization in the NPPES registry on May 16, 2011.
Where is Del Mar Dermatology Medical Corp located?
Del Mar Dermatology Medical Corp is located at 1349 Camino Del Mar Suite D, Del Mar, CA 92014. The listed phone number is (858) 755-0707.
What is Del Mar Dermatology Medical Corp's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Del Mar Dermatology Medical Corp enrolled in Medicare?
Yes. Del Mar Dermatology Medical Corp is registered in the Medicare PECOS enrollment system.
When is Del Mar Dermatology Medical Corp'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 January 31, 2027. 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 Del Mar Dermatology Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Del Mar Dermatology Medical Corp. 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 Del Mar Dermatology Medical Corp was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Del Mar Dermatology Medical Corp · NPI 1043503600
Specialist organization in Del Mar, California. Organization record, active in the CMS NPPES registry since May 16, 2011.
## Identity
- **NPI:** 1043503600 (Entity type: Organization)
- **Enumerated:** May 16, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Agata Marriott, PHYSICIAN/OWNER
## Practice location
- **Address:** 1349 CAMINO DEL MAR, SUITE D, Del Mar, CA 92014-2553
- **Phone:** (858) 755-0707 · **Fax:** (858) 755-0123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (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:** September 21, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1043503600) · Data from the CMS NPPES public registry.