BOSTON DERMATOLOGY CORPORATION
NPI 1154517993
Dermatology in Covina, CA

Active since September 14, 2007
262 W BADILLO ST, COVINA, CA 91723(626) 653-2525(626) 653-0808 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boston Dermatology Corporation NPPES

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

BOSTON DERMATOLOGY CORPORATION (NPI 1154517993) is a healthcare organization registered as a dermatology in Covina, California and active in the NPI registry since September 2007. The organization lists Saeed Nawaz Jaffer, President, as its authorized official.

NPPES Registry Identity

NPI1154517993
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBOSTON DERMATOLOGY CORPORATION
Location Address262 W BADILLO STCovina, CA 91723-1906
Mailing Address262 W Badillo StCovina, CA 91723-1906 · (626) 653-2525 · Fax (626) 653-0808
Fax(626) 653-0808
Organization SubpartNo
Authorized OfficialSaeed Nawaz JafferPresident · (626) 653-2525
Enumeration DateSeptember 14, 2007
Last NPPES UpdateOctober 5, 2020
NPPES CertifiedOctober 5, 2020
✔ NPI 1154517993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A74086
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 · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A74086 (CA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License A74086 (CA)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License A74086 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License A74086 (CA)
262 W BADILLO ST, Covina, CA 91723

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)

Boston Dermatology 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 Boston Dermatology Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1447228259
262 W BADILLO ST
Covina, CA 91723
(626) 653-2525
✔ 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.

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 05D1003494

Boston Dermatology Corporation · Covina, CA
Expired · Oct 24, 2026
CLIA Number05D1003494
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorSaeed N. Jaffer MD
Laboratory Phone(626) 653-2525
Laboratory LocationBoston Dermatology Corporation262 W Badillo St, Covina, CA 91723
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.

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 Boston Dermatology Corporation's NPI number?

The NPI number for Boston Dermatology Corporation is 1154517993. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is Boston Dermatology Corporation located?

Boston Dermatology Corporation is located at 262 W Badillo St, Covina, CA 91723. The listed phone number is (626) 653-2525.

What is Boston Dermatology Corporation's specialty?

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

Is Boston Dermatology Corporation enrolled in Medicare?

Yes. Boston Dermatology Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boston Dermatology Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Boston Dermatology 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 Boston Dermatology Corporation was last updated on October 5, 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.