DERMATOLOGY INSTITUTE & SKIN CARE CENTER, INC.
NPI 1164532339
Dermatology in Santa Monica, CA

Active since August 30, 2006CLIA 05D1038446 · Certificate of Compliance
2001 SANTA MONICA BLVD, #1160W, SANTA MONICA, CA 90404(310) 829-4104(310) 829-4150 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2017, Dec 16, 2015 (2 updates tracked since 2015).

About Dermatology Institute & Skin Care Center, Inc. NPPES

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

DERMATOLOGY INSTITUTE & SKIN CARE CENTER, INC. (NPI 1164532339) is a healthcare organization registered as a dermatology in Santa Monica, California and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 3, 2027 and lists Veronica Partida, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1164532339
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY INSTITUTE & SKIN CARE CENTER, INC.
Location Address2001 SANTA MONICA BLVD, #1160WSanta Monica, CA 90404-2102
Mailing Address2001 Santa Monica Blvd, #1160wSanta Monica, CA 90404-2102 · (310) 829-4104 · Fax (310) 829-4150
Fax(310) 829-4150
Organization SubpartNo
Authorized OfficialVeronica PartidaPractice Manager · (310) 829-4104
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 2, 20172 updates tracked since enumeration
✔ NPI 1164532339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A53239
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.
2001 SANTA MONICA BLVD, Santa Monica, CA 90404

Other Identifiers 2

Medicare UPINY44972
Medicare PINW19326CA

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Institute & Skin Care Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20051114001246Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology Institute & Skin Care Center, Inc., 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 (3)

Dermatology
NPI 1275114803
2001 SANTA MONICA BLVD
Santa Monica, CA 90404
(310) 829-4104
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1720074537
2730 WILSHIRE BLVD STE 650
Santa Monica, CA 90403
(310) 829-4104
✔ PECOS✔ Accepts Medicare0.6 mi
Dermatology
NPI 1336728344
4301 WEST MARKHAM, SLOT 576
Little Rock, AR 72205
(501) 686-6194
✔ PECOS✔ Accepts Medicare1,491 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 05D1038446

Dermatology Institute & Skin Care Center · Santa Monica, CA
Active · expires Oct 3, 2027
CLIA Number05D1038446
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorDr. Paul S. Yamauchi
Laboratory Phone(310) 829-4104
Laboratory LocationDermatology Institute & Skin Care Center2730 Wilshire Blvd Suite 650, Santa Monica, CA 90403
CLIA data matches this NPI record on: 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 Dermatology Institute & Skin Care Center, Inc.'s NPI number?

The NPI number for Dermatology Institute & Skin Care Center, Inc. is 1164532339. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Dermatology Institute & Skin Care Center, Inc. located?

Dermatology Institute & Skin Care Center, Inc. is located at 2001 Santa Monica Blvd #1160w, Santa Monica, CA 90404. The listed phone number is (310) 829-4104.

What is Dermatology Institute & Skin Care Center, Inc.'s specialty?

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

Is Dermatology Institute & Skin Care Center, Inc. enrolled in Medicare?

Yes. Dermatology Institute & Skin Care Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Dermatology Institute & Skin Care Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dermatology Institute & Skin Care Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology Institute & Skin Care Center, 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.

Does Dermatology Institute & Skin Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1038446) is associated with this NPI, valid through October 3, 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 Dermatology Institute & Skin Care Center, Inc. was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.