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ADVANCED SKIN CLINIC & SURGERY, PC
NPI 1194028423
Dermatology in Upland, CA

Active since December 08, 2010
1310 SAN BERNARDINO RD, SUITE 207, UPLAND, CA 91786(909) 946-8600(909) 946-8604 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Skin Clinic & Surgery, Pc NPPES

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

ADVANCED SKIN CLINIC & SURGERY, PC (NPI 1194028423) is a healthcare organization registered as a dermatology in Upland, California and active in the NPI registry since December 2010. The organization lists Tan Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1194028423
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED SKIN CLINIC & SURGERY, PC
Location Address1310 SAN BERNARDINO RD, SUITE 207Upland, CA 91786-4979
Mailing Address1310 San Bernardino Rd, Suite 207Upland, CA 91786-4979 · (909) 946-8600 · Fax (909) 946-8604
Phone(909) 946-8600
Fax(909) 946-8604
Organization SubpartNo
Authorized OfficialTan NguyenOwner · (909) 946-8600
Enumeration DateDecember 8, 2010
Last NPPES UpdateAugust 8, 2011
✔ NPI 1194028423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1310 SAN BERNARDINO RD, Upland, CA 91786
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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)

Advanced Skin Clinic & Surgery, Pc 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 Advanced Skin Clinic & Surgery, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tamuyen Nguyen, M.D.
Dermatology
NPI 1710041686
1310 SAN BERNARDINO RD SUITE 207
Upland, CA 91786
(909) 946-8600
✔ PECOS✔ Accepts MedicareSame address
Tan Nguyen, M.D.
Internal Medicine
NPI 1144273491
1310 SAN BERNARDINO RD SUITE 207
Upland, CA 91786
(909) 946-8600
✔ 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.

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 Skin Clinic & Surgery, PC's NPI number?

The NPI number for Advanced Skin Clinic & Surgery, PC is 1194028423. It was assigned to this organization in the NPPES registry on December 8, 2010.

Where is Advanced Skin Clinic & Surgery, PC located?

Advanced Skin Clinic & Surgery, PC is located at 1310 San Bernardino Rd Suite 207, Upland, CA 91786. The listed phone number is (909) 946-8600.

What is Advanced Skin Clinic & Surgery, PC's specialty?

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

Is Advanced Skin Clinic & Surgery, PC enrolled in Medicare?

Yes. Advanced Skin Clinic & Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Skin Clinic & Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Skin Clinic & Surgery, PC, in Dermatology and Internal Medicine. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Skin Clinic & Surgery, PC was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.