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DERMATOLOGY SPECIALISTS, INC
NPI 1053778274
Physician Assistant in Temecula, CA

Active since January 19, 2016CLIA Certified · 2 labs
31469 RANCHO PUEBLO RD # 101, TEMECULA, CA 92592(951) 304-7546 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology Specialists, Inc NPPES

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

DERMATOLOGY SPECIALISTS, INC (NPI 1053778274) is a healthcare organization registered as a physician assistant in Temecula, California and active in the NPI registry since January 2016. The organization holds 2 active CLIA laboratory certificates and lists Jane Lisk, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053778274
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameDERMATOLOGY SPECIALISTS, INC
Location Address31469 RANCHO PUEBLO RD # 101Temecula, CA 92592-4834
Mailing Address3629 Vista WayOceanside, CA 92056-4522 · (760) 828-9128
Phone(951) 304-7546
Organization SubpartNo
Authorized OfficialJane LiskAdministrator · (760) 757-7546
Enumeration DateJanuary 19, 2016
✔ NPI 1053778274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA14750
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
31469 RANCHO PUEBLO RD # 101, Temecula, CA 92592
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Other Identifiers 1

Medicare PINZZZ00530ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 05D0904002

Dermatology Specialists, Inc · Murrieta, CA
Active · expires Aug 16, 2026
CLIA Number05D0904002
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorArun Venkat
Laboratory Phone(951) 304-7546
Laboratory LocationDermatology Specialists, Inc25495 Medical Center Dr, Ste 200, Murrieta, CA 92562
CLIA data matches this NPI record on: 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2155665

Dermatology Specialist, Inc · Temecula, CA
Active · expires Oct 1, 2026
CLIA Number05D2155665
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorArun Venkat
Laboratory Phone(951) 225-7873
Laboratory LocationDermatology Specialist, Inc31515 Rancho Pueblo Road Suite #102, Temecula, CA 92592
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 05D0568920

Dermatology Specialists Inc · Oceanside, CA
Expired · Jul 31, 2026
CLIA Number05D0568920
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorArun P. Venkat
Laboratory Phone(760) 757-7546
Laboratory LocationDermatology Specialists Inc3629 Vista Way, Oceanside, CA 92056
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 Dermatology Specialists, Inc's NPI number?

The NPI number for Dermatology Specialists, Inc is 1053778274. It was assigned to this organization in the NPPES registry on January 19, 2016.

Where is Dermatology Specialists, Inc located?

Dermatology Specialists, Inc is located at 31469 Rancho Pueblo Rd # 101, Temecula, CA 92592. The listed phone number is (951) 304-7546.

What is Dermatology Specialists, Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Dermatology Specialists, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists, Inc was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.