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FOOTHILL DERMATOLOGY MEDICAL CENTER
NPI 1154592368
Specialist in Glendora, CA

Active since March 14, 2008CLIA 05D1027742 · Certificate of Compliance
2301 E FOOTHILL BLVD, STE 100, GLENDORA, CA 91740(626) 852-3376(626) 852-3375 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Mar 8, 2018 (3 updates tracked since 2018).

About Foothill Dermatology Medical Center NPPES

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

FOOTHILL DERMATOLOGY MEDICAL CENTER (NPI 1154592368) is a healthcare organization registered as a specialist in Glendora, California and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 28, 2027, maintains a secondary practice location in Rancho Cucamonga, and lists Amarpaul S Sidhu, Owner, as its authorized official.

NPPES Registry Identity

NPI1154592368
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFOOTHILL DERMATOLOGY MEDICAL CENTER
Location Address2301 E FOOTHILL BLVD, STE 100Glendora, CA 91740-4000
Mailing Address2301 E Foothill Blvd, Ste 100Glendora, CA 91740-4000 · (626) 852-3376 · Fax (626) 852-3375
Phone(626) 852-3376
Fax(626) 852-3375
Organization SubpartNo
Authorized OfficialAmarpaul S SidhuOwner · (626) 852-3376
Enumeration DateMarch 14, 2008
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
✔ NPI 1154592368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A73248
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A73218 (CA)
2301 E FOOTHILL BLVD, Glendora, CA 91740
Open in Google Maps ↗

Secondary Practice Location 1

Location 110470 Foothill Blvd Ste 127Rancho Cucamonga, CA 91730-3754 · Phone (626) 852-3376 · Fax (909) 483-3108

Other Identifiers 1

Medicaid00A732480CA

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 of Compliance 05D1027742

Foothill Dermatology Medical Center · Glendora, CA
Active · expires Aug 28, 2027
CLIA Number05D1027742
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorAmarpaul S. Sidhu
Laboratory Phone(626) 852-3376
Laboratory LocationFoothill Dermatology Medical Center2301 E Foothill Blvd Ste 100, Glendora, CA 91740
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 8

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

TAMARA LYNN TRZCINSKI PHYSICIAN ASSISTANT
Physician Assistant (Medical)
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740
Los Angeles County (626) 852-3376
MS. ALYVIAH DURHAM PA-C
Dermatology
2301 E FOOTHILL BLVD
GLENDORA, CA 91740
Los Angeles County (626) 852-3376
FOOTHILL COSMETIC SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
2301 E FOOTHILL BLVD, SUITE 200
GLENDORA, CA 91740
Los Angeles County (626) 852-3376
MRS. ASHLENE JANIECE KORCEK PA-C
Physician Assistant
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740
Los Angeles County (626) 852-3376
CANDACE HOPE MCFARLIN PA-C
Physician Assistant
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740
Los Angeles County (615) 830-4673
AMANDA E DUNCAN PA-C
Physician Assistant
2301 E FOOTHILL BLVD
GLENDORA, CA 91740
Los Angeles County (626) 852-3376
AMARPAUL S SIDHU M.D
Specialist
2301 E FOOTHILL BLVD, 100
GLENDORA, CA 91740
Los Angeles County (626) 852-3376
AMARPAUL S SIDHU, M. D
Specialist
2301 E FOOTHILL BLVD, SUITE 100
GLENDORA, CA 91740
Los Angeles County (626) 852-3376

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 Foothill Dermatology Medical Center's NPI number?

The NPI number for Foothill Dermatology Medical Center is 1154592368. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Foothill Dermatology Medical Center located?

Foothill Dermatology Medical Center is located at 2301 E Foothill Blvd Ste 100, Glendora, CA 91740. The listed phone number is (626) 852-3376.

What is Foothill Dermatology Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Foothill Dermatology Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1027742) is associated with this NPI, valid through August 28, 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 Foothill Dermatology Medical Center was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.