MEDDERM ASSOCIATES
NPI 1063447936
Dermatology in San Diego, CA
About Medderm Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDDERM ASSOCIATES (NPI 1063447936) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 24, 2027 and lists Michelle Terez Pelle, Owner/director, as its authorized official.Information from the official NPPES registry record, last updated April 18, 2023.
NPPES Registry Identity
★ Primary Specialty
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… Show more
Also on File with NPPES
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1062915
- Facility Type
- Physician Office
- Certificate Effective Date
- September 25, 2025
- Certificate Expiration Date
- September 24, 2027
- Laboratory Director
- MICHELLE T. PELLE MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Medderm Associates after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063447936, enumerated as an "organization" on July 11, 2006.
The provider is located at 3965 5TH AVE STE 200 SAN DIEGO, CA 92103 and the phone number is (619) 542-0013.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
