CALIFORNIA DERMATOLOGY INSTITUTE PC
NPI 1235671389
Dermatology in Thousand Oaks, CA
About California Dermatology Institute Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALIFORNIA DERMATOLOGY INSTITUTE PC (NPI 1235671389), doing business as California Dermatology Institute, is a healthcare organization registered as a dermatology in Thousand Oaks, California and active in the NPI registry since November 2016. The organization maintains 2 additional practice locations and lists Navid Ezra, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
California Dermatology Institute Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to California Dermatology Institute PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Thousand Oaks, CA 91320
Thousand Oaks, CA 91320
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 California Dermatology Institute PC's NPI number?
The NPI number for California Dermatology Institute PC is 1235671389. It was assigned to this organization in the NPPES registry on November 7, 2016. The provider is doing business as California Dermatology Institute. The provider was formerly known as Navid Ezra MD Inc..
Where is California Dermatology Institute PC located?
California Dermatology Institute PC is located at 3095 Old Conejo Rd Ste 200, Thousand Oaks, CA 91320. The listed phone number is (805) 222-5803.
What is California Dermatology Institute PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is California Dermatology Institute PC enrolled in Medicare?
Yes. California Dermatology Institute PC is registered in the Medicare PECOS enrollment system.
When is California Dermatology Institute PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Dermatology) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through California Dermatology Institute PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to California Dermatology Institute PC. 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. The largest specialties are Dermatology (7), Rheumatology (2) and Plastic and Reconstructive Surgery (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does California Dermatology Institute PC accept?
Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 22 other insurers list California Dermatology Institute PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for California Dermatology Institute PC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# California Dermatology Institute Pc · NPI 1235671389
Dermatology organization in Thousand Oaks, California. Organization record, active in the CMS NPPES registry since November 7, 2016.
## Identity
- **NPI:** 1235671389 (Entity type: Organization)
- **Enumerated:** November 7, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Also known as:** California Dermatology Institute (Doing Business As); Navid Ezra MD Inc. (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Navid Ezra, MD
## Practice location
- **Address:** 3095 OLD CONEJO RD STE 200, Thousand Oaks, CA 91320-2130
- **Phone:** (805) 222-5803
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, California, Physician - Dermatology) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (7), Rheumatology (2), Plastic and Reconstructive Surgery (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235671389) · Data from the CMS NPPES public registry.