PACIFIC SKIN INSTITUTE
NPI 1184027104
Dermatology - Procedural Dermatology in Sacramento, CA
About Pacific Skin Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC SKIN INSTITUTE (NPI 1184027104) is a healthcare organization registered as a procedural dermatology in Sacramento, California and active in the NPI registry since October 2014. The organization holds 5 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists An Yen, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Skin Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Pacific Skin Institute, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 5
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 05D0984472
Pacific Skin Institute · Sacramento, CACertificate of Waiver 05D2317824
Pacific Skin Institute · Folsom, CACertificate of Waiver 05D2317826
Pacific Skin Institute · Rocklin, CACertificate of Waiver 05D2317827
Pacific Skin Institute · Vacaville, CACertificate of Waiver 05D2315929
Pacific Skin Institute · Sacramento, CAFrequently 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 Pacific Skin Institute's NPI number?
The NPI number for Pacific Skin Institute is 1184027104. It was assigned to this organization in the NPPES registry on October 5, 2014.
Where is Pacific Skin Institute located?
Pacific Skin Institute is located at 1495 River Park Dr Ste 200, Sacramento, CA 95815. The listed phone number is (916) 925-7020.
What is Pacific Skin Institute's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Pacific Skin Institute enrolled in Medicare?
Yes. Pacific Skin Institute is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Skin Institute?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Pacific Skin Institute. 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. The largest specialties are Dermatology (6) and Nurse Practitioner (4). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pacific Skin Institute hold CLIA laboratory certificates?
Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pacific Skin Institute accept?
Health plans from HMSA list Pacific Skin Institute as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pacific Skin Institute was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Pacific Skin Institute · NPI 1184027104
Procedural Dermatology organization in Sacramento, California. Organization record, active in the CMS NPPES registry since October 5, 2014.
## Identity
- **NPI:** 1184027104 (Entity type: Organization)
- **Enumerated:** October 5, 2014
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Organization subpart:** No
- **Authorized official:** An Yen, PARTNER
## Practice location
- **Address:** 1495 RIVER PARK DR STE 200, Sacramento, CA 95815-4517
- **Phone:** (916) 925-7020 · **Fax:** (916) 925-3680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Nurse Practitioner (4); 9 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2026
- **CLIA laboratory certificates:** 5 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1184027104) · Data from the CMS NPPES public registry.