DERMATOLOGY & SKIN CANCER CENTER OF NM PC
NPI 1235264284
Dermatology in Albuquerque, NM

Q: What is Dermatology & Skin Cancer Center Of Nm PC's specialty?

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

Active since February 22, 2007CLIA 32D1073594 · Certificate of Compliance

5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109(505) 243-7546(505) 243-7547 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, Dec 13, 2023, Dec 8, 2023 and 1 more (4 updates tracked since 2020).

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About Dermatology & Skin Cancer Center Of Nm Pc NPPES

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

DERMATOLOGY & SKIN CANCER CENTER OF NM PC (NPI 1235264284) is a healthcare organization registered as a dermatology in Albuquerque, New Mexico and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 8, 2026 and lists Sandra A Cangiolosi, Executive Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1235264284

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERMATOLOGY & SKIN CANCER CENTER OF NM PC

Location Address5120 MASTHEAD ST NEAlbuquerque, NM 87109-4366

Mailing Address5120 Masthead St NeAlbuquerque, NM 87109-4366 · (505) 243-7546 · Fax (505) 243-7547

Phone(505) 243-7546

Fax(505) 243-7547

Organization SubpartNo

Authorized OfficialSandra A CangiolosiExecutive Vp Of Operations · (505) 243-7546

Enumeration DateFebruary 22, 2007

Last NPPES UpdateDecember 31, 20254 updates tracked since enumeration

NPPES CertifiedDecember 31, 2025

✔ NPI 1235264284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

5120 MASTHEAD ST NE, Albuquerque, NM 87109

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 32D1073594

Dermatology & Skin Cancer Center Of Nm · Albuquerque, NM

Active · expires Oct 8, 2026

CLIA Number32D1073594

Laboratory TypePhysician Office

Certificate Effective DateOctober 9, 2024

Certificate Expiration DateOctober 8, 2026

Laboratory DirectorDavid A. Davis

Laboratory Phone(505) 243-7546

Laboratory LocationDermatology & Skin Cancer Center Of Nm5120 Masthead St NE, Albuquerque, NM 87109

CLIA data matches this NPI record on: Address 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 10

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

DANIEL L. STULBERG MD

Family Medicine