CALIFORNIA DERMATOLOGY INSTITUTE PC
NPI 1265397574
Non-Pharmacy Dispensing Site in San Luis Obispo, CA

Active since December 18, 2025
862 MEINECKE AVE STE 202, SAN LUIS OBISPO, CA 93405(805) 298-7034(805) 298-7139 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About California Dermatology Institute Pc NPPES

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

CALIFORNIA DERMATOLOGY INSTITUTE PC (NPI 1265397574) is a healthcare organization registered as a non-pharmacy dispensing site in San Luis Obispo, California and active in the NPI registry since December 2025. The organization lists Navid Ezra, President, as its authorized official.

NPPES Registry Identity

NPI1265397574
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCALIFORNIA DERMATOLOGY INSTITUTE PC
Location Address862 MEINECKE AVE STE 202San Luis Obispo, CA 93405-3705
Mailing Address3095 Old Conejo Rd Ste 200Thousand Oaks, CA 91320-2130 · (805) 298-7034 · Fax (805) 298-7139
Fax(805) 298-7139
Organization SubpartNo
Authorized OfficialNavid EzraPresident · (805) 222-5803
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
NPI 1265397574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
862 MEINECKE AVE STE 202, San Luis Obispo, CA 93405

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 1265397574. It was assigned to this organization in the NPPES registry on December 18, 2025.

Where is California Dermatology Institute PC located?

California Dermatology Institute PC is located at 862 Meinecke Ave Ste 202, San Luis Obispo, CA 93405. The listed phone number is (805) 298-7034.

What is California Dermatology Institute PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for California Dermatology Institute PC was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.