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JH DERMATOLOGY INC
NPI 1184315053
Clinic/Center in Beverly Hills, CA

Active since May 19, 2023CLIA 05D2289584 · Microscopy
436 N BEDFORD DR STE 303, BEVERLY HILLS, CA 90210(310) 803-2461 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2023, May 19, 2023 (2 updates tracked since 2023).

About Jh Dermatology Inc NPPES

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

JH DERMATOLOGY INC (NPI 1184315053) is a healthcare organization registered as a clinic/center in Beverly Hills, California and active in the NPI registry since May 2023. The organization holds a CLIA Microscopy certificate valid through February 24, 2028 and lists Jacquiline Habashy, Owner, as its authorized official.

NPPES Registry Identity

NPI1184315053
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJH DERMATOLOGY INC
Location Address436 N BEDFORD DR STE 303Beverly Hills, CA 90210-4320
Mailing Address436 N Bedford Dr Ste 303Beverly Hills, CA 90210-4320 · (310) 803-2461
Phone(310) 803-2461
Organization SubpartNo
Authorized OfficialJacquiline HabashyOwner · (310) 803-2461
Enumeration DateMay 19, 2023
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1184315053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
436 N BEDFORD DR STE 303, Beverly Hills, CA 90210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jh Dermatology Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacquiline Habashy, D.O.
Dermatology
NPI 1225497464
436 N BEDFORD DR STE 303
Beverly Hills, CA 90210
(310) 803-2461
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2289584

Jh Dermatology Inc · Beverly Hills, CA
Active · expires Feb 24, 2028
CLIA Number05D2289584
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorJacquiline H. Hakim
Laboratory Phone(310) 975-9785
Laboratory LocationJh Dermatology Inc436 N Bedford Dr Ste 303, Beverly Hills, CA 90210
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Jh Dermatology Inc's NPI number?

The NPI number for Jh Dermatology Inc is 1184315053. It was assigned to this organization in the NPPES registry on May 19, 2023.

Where is Jh Dermatology Inc located?

Jh Dermatology Inc is located at 436 N Bedford Dr Ste 303, Beverly Hills, CA 90210. The listed phone number is (310) 803-2461.

What is Jh Dermatology Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Jh Dermatology Inc enrolled in Medicare?

Yes. Jh Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jh Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Jh Dermatology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jh Dermatology Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2289584) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jh Dermatology Inc was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.