THE DERMBAR
NPI 1073334181
Dermatology in Ontario, CA

Active since October 21, 2024
3333 CONCOURS ST., BLDG 1, SUITE 1201, ONTARIO, CA 91764(909) 476-4077 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Dermbar NPPES

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

THE DERMBAR (NPI 1073334181) is a healthcare organization registered as a dermatology in Ontario, California and active in the NPI registry since October 2024. The organization lists Britney Kaufman, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1073334181
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHE DERMATOLOGY BAR, A MEDICAL CORPORATION
Location Address3333 CONCOURS ST., BLDG 1, SUITE 1201Ontario, CA 91764
Mailing Address3333 Concours St., Bldg 1, Suite 1201Ontario, CA 91764 · (909) 476-4077
Organization SubpartNo
Authorized OfficialBritney KaufmanCo-owner · (909) 476-4077
Enumeration DateOctober 21, 2024
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1073334181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
3333 CONCOURS ST., Ontario, CA 91764

Other Names 1

Doing Business AsThe Dermbar

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)

The Dermbar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Dermbar, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1679191951
3333 CONCOURS ST BUILDING 1, SUITE 1201
Ontario, CA 91764
(909) 476-4077
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023873759
585 N MOUNTAIN AVE
Upland, CA 91786
(909) 608-7546
✔ PECOS✔ Accepts Medicare5.6 mi
Dermatology
NPI 1427398296
34800 BOB WILSON DR
San Diego, CA 92134
(619) 532-9660
✔ PECOS✔ Accepts Medicare96 mi

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 The Dermatology Bar, A Medical Corporation's NPI number?

The NPI number for The Dermatology Bar, A Medical Corporation is 1073334181. It was assigned to this organization in the NPPES registry on October 21, 2024. The provider is doing business as The Dermbar.

Where is The Dermatology Bar, A Medical Corporation located?

The Dermatology Bar, A Medical Corporation is located at 3333 Concours St. Bldg 1, Suite 1201, Ontario, CA 91764. The listed phone number is (909) 476-4077.

What is The Dermatology Bar, A Medical Corporation's specialty?

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

Is The Dermatology Bar, A Medical Corporation enrolled in Medicare?

Yes. The Dermatology Bar, A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Dermatology Bar, A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to The Dermatology Bar, A Medical Corporation, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Dermatology Bar, A Medical Corporation was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.