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ADVANCED INSTITUTE OF DERMATOLOGY, INC
NPI 1184919011
Dermatology in Palm Desert, CA

Active since June 20, 2011CLIA 05D2036801 · Certificate of Compliance
41990 COOK ST # F1006, PALM DESERT, CA 92211(760) 568-9300(760) 568-9331 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Advanced Institute Of Dermatology, Inc NPPES

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

ADVANCED INSTITUTE OF DERMATOLOGY, INC (NPI 1184919011) is a healthcare organization registered as a dermatology in Palm Desert, California and active in the NPI registry since June 2011. The organization holds a CLIA Certificate of Compliance certificate valid through June 14, 2028 and lists Maryam Sickinger, President, as its authorized official.

NPPES Registry Identity

NPI1184919011
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED INSTITUTE OF DERMATOLOGY, INC
Location Address41990 COOK ST # F1006Palm Desert, CA 92211-6100
Mailing Address41990 Cook St # F1006Palm Desert, CA 92211-6100 · (760) 568-9300 · Fax (760) 568-9331
Phone(760) 568-9300
Fax(760) 568-9331
Organization SubpartNo
Authorized OfficialMaryam SickingerPresident · (760) 568-9300
Enumeration DateJune 20, 2011
Last NPPES UpdateMay 27, 2016
✔ NPI 1184919011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 20A10108
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.
41990 COOK ST # F1006, Palm Desert, CA 92211
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Other Identifiers 1

Medicare PINFM656CA

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

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 05D2036801

Advanced Institute Of Dermatology, Inc · Palm Desert, CA
Active · expires Jun 14, 2028
CLIA Number05D2036801
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorDr. Maryam Sickinger, Do
Laboratory Phone(760) 568-9300
Laboratory LocationAdvanced Institute Of Dermatology, Inc41990 Cook St, Ste 1006 Bldg F, Palm Desert, CA 92211
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC
Neuromusculoskeletal Medicine, Sports Medicine
41990 COOK ST # F1006
PALM DESERT, CA 92211
Riverside County (760) 636-1067

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 Advanced Institute Of Dermatology, Inc's NPI number?

The NPI number for Advanced Institute Of Dermatology, Inc is 1184919011. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Advanced Institute Of Dermatology, Inc located?

Advanced Institute Of Dermatology, Inc is located at 41990 Cook St # F1006, Palm Desert, CA 92211. The listed phone number is (760) 568-9300.

What is Advanced Institute Of Dermatology, Inc's specialty?

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

Does Advanced Institute Of Dermatology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2036801) is associated with this NPI, valid through June 14, 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 Advanced Institute Of Dermatology, Inc was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.