CALIFORNIA DERMATOLOGY & CLINICAL RESEARCH INSTITUTE
NPI 1114357605
Dermatology in Cardiff, CA

Active since November 19, 2013CLIA 05D2093202 · Microscopy
2371 LAGOON VIEW DR, CARDIFF, CA 92007(619) 787-5723(619) 342-7428 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About California Dermatology & Clinical Research Institute NPPES

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

CALIFORNIA DERMATOLOGY & CLINICAL RESEARCH INSTITUTE (NPI 1114357605) is a healthcare organization registered as a dermatology in Cardiff, California and active in the NPI registry since November 2013. The organization holds a CLIA Microscopy certificate valid through March 22, 2027 and lists Stacy Smith, President, as its authorized official.

NPPES Registry Identity

NPI1114357605
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSTACY R SMITH, MD APC
Location Address2371 LAGOON VIEW DRCardiff, CA 92007-1507
Mailing Address561 Saxony Pl, Suite 102Encinitas, CA 92024-7700 · (760) 203-3839 · Fax (760) 203-3840
Fax(619) 342-7428
Organization SubpartNo
Authorized OfficialStacy SmithPresident · (760) 203-3839
Enumeration DateNovember 19, 2013
NPI 1114357605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G65407
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.
2371 LAGOON VIEW DR, Cardiff, CA 92007

Other Names 1

Doing Business AsCalifornia Dermatology & Clinical Research Institute

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

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2093202

California Dermatology & Clinical Research Institute · Encinitas, CA
Active · expires Mar 22, 2027
CLIA Number05D2093202
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorStacy R. Smith
Laboratory Phone(760) 302-6162
Laboratory LocationCalifornia Dermatology & Clinical Research Institute561 Saxony Pl Ste 102, Encinitas, CA 92024
CLIA data matches this NPI record on: Address 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.

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 Stacy R Smith, MD Apc's NPI number?

The NPI number for Stacy R Smith, MD Apc is 1114357605. It was assigned to this organization in the NPPES registry on November 19, 2013. The provider is doing business as California Dermatology & Clinical Research Institute.

Where is Stacy R Smith, MD Apc located?

Stacy R Smith, MD Apc is located at 2371 Lagoon View Dr, Cardiff, CA 92007. The listed phone number is (619) 787-5723.

What is Stacy R Smith, MD Apc's specialty?

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

Does Stacy R Smith, MD Apc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2093202) is associated with this NPI, valid through March 22, 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 Stacy R Smith, MD Apc was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.