MANHATTAN BEACH DERMATOLOGY
NPI 1235333493
Dermatology in Manhattan Beach, CA

Active since June 12, 2007
2809 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266(310) 802-8180 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Manhattan Beach Dermatology NPPES

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

MANHATTAN BEACH DERMATOLOGY (NPI 1235333493) is a healthcare organization registered as a dermatology in Manhattan Beach, California and active in the NPI registry since June 2007. The organization lists Scott C. Rackett, Owner, as its authorized official.

NPPES Registry Identity

NPI1235333493
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSCOTT C RACKETT M D INC
Location Address2809 N SEPULVEDA BLVDManhattan Beach, CA 90266-2727
Mailing Address2809 N Sepulveda BlvdManhattan Beach, CA 90266-2727 · (310) 802-8180
Organization SubpartNo
Authorized OfficialScott C. RackettOwner · (310) 802-8180
Enumeration DateJune 12, 2007
Last NPPES UpdateJune 8, 2015
✔ NPI 1235333493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G83929
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.
2809 N SEPULVEDA BLVD, Manhattan Beach, CA 90266

Other Names 1

Doing Business AsManhattan Beach Dermatology

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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Manhattan Beach Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1235230368
2809 N SEPULVEDA BLVD
Manhattan Beach, CA 90266
(310) 802-8280
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255668885
915 S CATALINA AVE STE B
Redondo Beach, CA 90277
(310) 543-2323
✔ PECOS4.8 mi
Dermatology
NPI 1659627115
1811 WILSHIRE BLVD STE 110
Santa Monica, CA 90403
(310) 829-0260
✔ PECOS✔ Accepts Medicare11 mi

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 of Compliance 05D1071461

Manhattan Beach Dermatology · Manhattan Beach, CA
Expired · Sep 30, 2026
CLIA Number05D1071461
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorScott C. Rackett
Laboratory Phone(310) 802-8180
Laboratory LocationManhattan Beach Dermatology2809 N Sepulveda Blvd, Manhattan Beach, CA 90266
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.

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 Scott C Rackett M D Inc's NPI number?

The NPI number for Scott C Rackett M D Inc is 1235333493. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Manhattan Beach Dermatology.

Where is Scott C Rackett M D Inc located?

Scott C Rackett M D Inc is located at 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266. The listed phone number is (310) 802-8180.

What is Scott C Rackett M D Inc's specialty?

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

Is Scott C Rackett M D Inc enrolled in Medicare?

Yes. Scott C Rackett M D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott C Rackett M D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Scott C Rackett M D Inc, in Dermatology and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scott C Rackett M D Inc was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.