DERMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA, INC
NPI 1104991603
Dermatology in Signal Hill, CA

Active since November 21, 2006
1850 REDONDO AVE, SUITE 108, SIGNAL HILL, CA 90755(562) 498-2131(562) 498-2535 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Associates Of Southern California, Inc NPPES

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

DERMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA, INC (NPI 1104991603) is a healthcare organization registered as a dermatology in Signal Hill, California and active in the NPI registry since November 2006. The organization lists Sharam Yashar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104991603
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA, INC
Location Address1850 REDONDO AVE, SUITE 108Signal Hill, CA 90755-1251
Mailing Address1850 Redondo Ave, Suite 108Signal Hill, CA 90755-1251 · (562) 498-2131 · Fax (562) 498-2535
Fax(562) 498-2535
Organization SubpartNo
Authorized OfficialSharam YasharCeo · (562) 498-2131
Enumeration DateNovember 21, 2006
Last NPPES UpdateJanuary 27, 2011
✔ NPI 1104991603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A86029
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.
1850 REDONDO AVE, Signal Hill, CA 90755

Other Identifiers 1

Medicare ID-Type UnspecifiedW18770CA · Medicare Provider Number

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Associates Of Southern California, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology Associates Of Southern California, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1245264910
1850 REDONDO AVE SUITE 108
Signal Hill, CA 90755
(562) 498-2131
✔ PECOS✔ Accepts MedicareSame address

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 Dermatology Associates Of Southern California, Inc's NPI number?

The NPI number for Dermatology Associates Of Southern California, Inc is 1104991603. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Dermatology Associates Of Southern California, Inc located?

Dermatology Associates Of Southern California, Inc is located at 1850 Redondo Ave Suite 108, Signal Hill, CA 90755. The listed phone number is (562) 498-2131.

What is Dermatology Associates Of Southern California, Inc's specialty?

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

Is Dermatology Associates Of Southern California, Inc enrolled in Medicare?

Yes. Dermatology Associates Of Southern California, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Associates Of Southern California, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology Associates Of Southern California, Inc. 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 Dermatology Associates Of Southern California, Inc was last updated on January 27, 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.