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TLC DERMATOLOGY MEDICAL CENTER, INC.
NPI 1174916506
Specialist in Redding, CA

Active since March 10, 2015
2570 GOODWATER AVE, SUITE 300, REDDING, CA 96002(530) 221-3376(530) 221-3378 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tlc Dermatology Medical Center, Inc. NPPES

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

TLC DERMATOLOGY MEDICAL CENTER, INC. (NPI 1174916506) is a healthcare organization registered as a specialist in Redding, California and active in the NPI registry since March 2015. The organization lists Tinyee Tsai Chang, Md, as its authorized official.

NPPES Registry Identity

NPI1174916506
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTLC DERMATOLOGY MEDICAL CENTER, INC.
Location Address2570 GOODWATER AVE, SUITE 300Redding, CA 96002-1548
Mailing Address2570 Goodwater Ave, #300Redding, CA 96002 · (530) 221-3376 · Fax (530) 221-3378
Phone(530) 221-3376
Fax(530) 221-3378
Organization SubpartNo
Authorized OfficialTinyee Tsai ChangMd · (530) 221-3376
Enumeration DateMarch 10, 2015
✔ NPI 1174916506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A88191
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.
2570 GOODWATER AVE, Redding, CA 96002
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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)

Tlc Dermatology Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tlc Dermatology Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Aseel Abu-Nasser
Nurse Practitioner
NPI 1609641711
375 SMILE PL STE B
Redding, CA 96001
(530) 221-3376
✔ PECOS✔ Accepts Medicare2.8 mi
Tinyee Chang, MD
Dermatology
NPI 1386861409
375 SMILE PLACE SUITE B
Redding, CA 96001
(530) 221-3376
✔ PECOS✔ Accepts Medicare2.8 mi

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 Tlc Dermatology Medical Center, Inc.'s NPI number?

The NPI number for Tlc Dermatology Medical Center, Inc. is 1174916506. It was assigned to this organization in the NPPES registry on March 10, 2015.

Where is Tlc Dermatology Medical Center, Inc. located?

Tlc Dermatology Medical Center, Inc. is located at 2570 Goodwater Ave Suite 300, Redding, CA 96002. The listed phone number is (530) 221-3376.

What is Tlc Dermatology Medical Center, Inc.'s specialty?

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

Is Tlc Dermatology Medical Center, Inc. enrolled in Medicare?

Yes. Tlc Dermatology Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tlc Dermatology Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tlc Dermatology Medical Center, Inc., in Dermatology and Nurse Practitioner. 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, 2 practice 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 Tlc Dermatology Medical Center, Inc. was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.