1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Dermatology
  6. NPI Profile

UNIVERSITY SKIN INSTITUTE
NPI 1083120992
Dermatology in Sacramento, CA

Active since December 15, 2017CLIA 05D2153675 · Certificate of Compliance
650 UNIVERSITY AVE STE 200, SACRAMENTO, CA 95825(916) 771-7700 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2018, Mar 17, 2018, Feb 21, 2018 and 1 more (4 updates tracked since 2017).

About University Skin Institute NPPES

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

UNIVERSITY SKIN INSTITUTE (NPI 1083120992) is a healthcare organization registered as a dermatology in Sacramento, California and active in the NPI registry since December 2017. The organization holds a CLIA Certificate of Compliance certificate valid through January 12, 2027, maintains a secondary practice location in Sacramento, and lists Pantea Hashemi, Founder, as its authorized official.

NPPES Registry Identity

NPI1083120992
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMEDICAL DERMATOLOGY & COSMETIC CLINIC OF NORTHERN CALIFORNIA
Location Address650 UNIVERSITY AVE STE 200Sacramento, CA 95825
Mailing Address650 University Ave Ste 200Sacramento, CA 95825-6726
Phone(916) 771-7700
Organization SubpartNo
Authorized OfficialPantea HashemiFounder · (916) 571-5200
Enumeration DateDecember 15, 2017
Last NPPES UpdateAugust 14, 20184 updates tracked since enumeration
✔ NPI 1083120992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
650 UNIVERSITY AVE STE 200, Sacramento, CA 95825
Open in Google Maps ↗

Other Names 1

Doing Business AsUniversity Skin Institute

Secondary Practice Location 1

Location 1650 University Ave Ste 200Sacramento, CA 95825-6726 · Phone (916) 771-7700

Group Practice 2

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

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 05D2153675

University Skin Institute · Sacramento, CA
Active · expires Jan 12, 2027
CLIA Number05D2153675
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorHashemi Pantea MD
Laboratory Phone(916) 571-5200
Laboratory LocationUniversity Skin Institute650 University Ave, Ste 200, Sacramento, CA 95825
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EWAN HO FNP-BC
Nurse Practitioner (Family)
650 UNIVERSITY AVE STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 571-5200
PANTEA HASHEMI M.D.
Dermatology
650 UNIVERSITY AVE STE 200
SACRAMENTO, CA 95825
Sacramento County (916) 571-5200

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 Medical Dermatology & Cosmetic Clinic Of Northern California's NPI number?

The NPI number for Medical Dermatology & Cosmetic Clinic Of Northern California is 1083120992. It was assigned to this organization in the NPPES registry on December 15, 2017. The provider is doing business as University Skin Institute.

Where is Medical Dermatology & Cosmetic Clinic Of Northern California located?

Medical Dermatology & Cosmetic Clinic Of Northern California is located at 650 University Ave Ste 200, Sacramento, CA 95825. The listed phone number is (916) 771-7700.

What is Medical Dermatology & Cosmetic Clinic Of Northern California's specialty?

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

Does Medical Dermatology & Cosmetic Clinic Of Northern California hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2153675) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Dermatology & Cosmetic Clinic Of Northern California was last updated on August 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.