PASADENA PREMIER DERMATOLOGY PARTNERS
NPI 1275341414
Specialist in Pasadena, CA

Active since December 19, 2024CLIA 05D0721971 · Certificate of Compliance
960 E GREEN ST STE 330, PASADENA, CA 91106(626) 449-4207(626) 449-0925 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pasadena Premier Dermatology Partners NPPES

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

PASADENA PREMIER DERMATOLOGY PARTNERS (NPI 1275341414) is a healthcare organization registered as a specialist in Pasadena, California and active in the NPI registry since December 2024. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists David A Denenholz, Partner, as its authorized official.

NPPES Registry Identity

NPI1275341414
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePASADENA PREMIER DERMATOLOGY PARTNERS
Location Address960 E GREEN ST STE 330Pasadena, CA 91106-2401
Mailing Address960 E Green St Ste 330Pasadena, CA 91106-2401 · (626) 449-4207 · Fax (626) 449-0925
Fax(626) 449-0925
Organization SubpartNo
Authorized OfficialDavid A DenenholzPartner · (626) 449-4207
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1275341414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
960 E GREEN ST STE 330, Pasadena, CA 91106

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pasadena Premier Dermatology Partners is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pasadena Premier Dermatology Partners, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1801837331
960 E GREEN ST #330
Pasadena, CA 91106
(626) 449-4207
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1356388110
960 E GREEN ST
Pasadena, CA 91106
(626) 449-4207
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1033423413
960 E GREEN ST STE 330
Pasadena, CA 91106
(626) 449-4207
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1568791721
473 N FAIR OAKS AVE
Pasadena, CA 91103
(626) 792-2378
✔ PECOS✔ Accepts Medicare1.4 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 05D0721971

Pasadena Premier Dermatology Partners · Pasadena, CA
Active · expires Nov 30, 2026
CLIA Number05D0721971
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorGabriel G. Pai MD
Laboratory Phone(626) 449-4207
Laboratory LocationPasadena Premier Dermatology Partners960 E Green St, Ste 330, Pasadena, CA 91106
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 Pasadena Premier Dermatology Partners's NPI number?

The NPI number for Pasadena Premier Dermatology Partners is 1275341414. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Pasadena Premier Dermatology Partners located?

Pasadena Premier Dermatology Partners is located at 960 E Green St Ste 330, Pasadena, CA 91106. The listed phone number is (626) 449-4207.

What is Pasadena Premier Dermatology Partners's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pasadena Premier Dermatology Partners enrolled in Medicare?

Yes. Pasadena Premier Dermatology Partners is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pasadena Premier Dermatology Partners?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Pasadena Premier Dermatology Partners. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pasadena Premier Dermatology Partners hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0721971) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pasadena Premier Dermatology Partners was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.