PIERRE MEDICAL CORPORATION
NPI 1124216684
Dermatology in Thousand Oaks, CA

Active since October 10, 2007
77 ROLLING OAKS DR STE 207, THOUSAND OAKS, CA 91361(805) 496-9190(805) 496-9185 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pierre Medical Corporation NPPES

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

PIERRE MEDICAL CORPORATION (NPI 1124216684) is a healthcare organization registered as a dermatology in Thousand Oaks, California and active in the NPI registry since October 2007. The organization lists Doug Mckenney, Biller, as its authorized official.

NPPES Registry Identity

NPI1124216684
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePIERRE MEDICAL CORPORATION
Location Address77 ROLLING OAKS DR STE 207Thousand Oaks, CA 91361-1019
Mailing Address77 Rolling Oaks Dr Ste 207Thousand Oaks, CA 91361-1019 · (805) 496-9190 · Fax (805) 496-9185
Fax(805) 496-9185
Organization SubpartNo
Authorized OfficialDoug MckenneyBiller · (805) 496-9190
Enumeration DateOctober 10, 2007
Last NPPES UpdateJune 4, 2020
NPPES CertifiedJune 4, 2020
✔ NPI 1124216684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
77 ROLLING OAKS DR STE 207, Thousand Oaks, CA 91361

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)

Pierre Medical Corporation 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 Pierre Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1073663886
77 E. ROLLING OAKS DRIVE, SUITE 207
Thousand Oaks, CA 91361
(805) 496-9190
✔ 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 Pierre Medical Corporation's NPI number?

The NPI number for Pierre Medical Corporation is 1124216684. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Pierre Medical Corporation located?

Pierre Medical Corporation is located at 77 Rolling Oaks Dr Ste 207, Thousand Oaks, CA 91361. The listed phone number is (805) 496-9190.

What is Pierre Medical Corporation's specialty?

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

Is Pierre Medical Corporation enrolled in Medicare?

Yes. Pierre Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pierre Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Pierre Medical Corporation. 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 Pierre Medical Corporation was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.