1. Home
  2. Directory
  3. California
  4. Hercules
  5. Dermatology
  6. NPI Profile

DERMATOLOGY ASSOCIATES OF THE BAY AREA
NPI 1164514881
Dermatology in Hercules, CA

Active since September 29, 2006
500 ALFRED NOBEL DR, STE 245, HERCULES, CA 94547(510) 741-7418(510) 741-7456 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dermatology Associates Of The Bay Area NPPES

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

DERMATOLOGY ASSOCIATES OF THE BAY AREA (NPI 1164514881) is a healthcare organization registered as a dermatology in Hercules, California and active in the NPI registry since September 2006. The organization lists Marlene Kole, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164514881
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEITAN HOMA MD AND JENNIFER KRASNOFF MD INC
Location Address500 ALFRED NOBEL DR, STE 245Hercules, CA 94547
Mailing Address500 Alfred Nobel Dr, Ste 245Hercules, CA 94547 · (510) 741-7418 · Fax (510) 741-7456
Phone(510) 741-7418
Fax(510) 741-7456
Organization SubpartNo
Authorized OfficialMarlene KoleOffice Manager · (510) 741-7418
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1164514881 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.
500 ALFRED NOBEL DR, Hercules, CA 94547
Open in Google Maps ↗

Other Names 1

Doing Business AsDermatology Associates Of The Bay Area

Other Identifiers 3

OtherC14303CA · Railroad Medicare
Medicare PINZZZ01660ZCA
OtherZZZ00647ZCA · Blue Shiled

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 The Bay Area is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dermatology Associates Of The Bay Area, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jennifer Krasnoff, MD
Dermatology
NPI 1548342934
500 ALFRED NOBEL DR SUITE 245
Hercules, CA 94547
(510) 741-7418
✔ PECOS✔ Accepts MedicareSame address
Jonathan Okman, M.D.
Dermatology
NPI 1003227372
500 ALFRED NOBEL DR STE 245
Hercules, CA 94547
(510) 741-7418
✔ PECOS✔ Accepts Medicare0.1 mi
Whitney Fisk
Dermatology
NPI 1306194584
3301 C ST SUITE 1300
Sacramento, CA 95816
(916) 734-6111
✔ PECOS✔ Accepts Medicare12 mi
Carla Fisher, M.D.
Dermatology
NPI 1215934096
165 LYNCH CREEK WAY
Petaluma, CA 94954
(707) 762-5531
✔ PECOS✔ Accepts Medicare25 mi
Eitan Homa, M.D.
Dermatology
NPI 1326120718
165 LYNCH CREEK WAY
Petaluma, CA 94954
(707) 762-5531
✔ PECOS✔ Accepts Medicare25 mi

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 05D0603798

Dermatology Associates Of The Bay Area · Hercules, CA
Expired · Sep 30, 2026
CLIA Number05D0603798
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorEitan A. Homa MD
Laboratory Phone(510) 741-7418
Laboratory LocationDermatology Associates Of The Bay Area500 Alfred Nobel Dr, Ste 245, Hercules, CA 94547
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 Eitan Homa MD And Jennifer Krasnoff MD Inc's NPI number?

The NPI number for Eitan Homa MD And Jennifer Krasnoff MD Inc is 1164514881. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Dermatology Associates Of The Bay Area.

Where is Eitan Homa MD And Jennifer Krasnoff MD Inc located?

Eitan Homa MD And Jennifer Krasnoff MD Inc is located at 500 Alfred Nobel Dr Ste 245, Hercules, CA 94547. The listed phone number is (510) 741-7418.

What is Eitan Homa MD And Jennifer Krasnoff MD Inc's specialty?

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

Is Eitan Homa MD And Jennifer Krasnoff MD Inc enrolled in Medicare?

Yes. Eitan Homa MD And Jennifer Krasnoff MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eitan Homa MD And Jennifer Krasnoff MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Eitan Homa MD And Jennifer Krasnoff MD 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eitan Homa MD And Jennifer Krasnoff MD Inc was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.