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HUNTINGTON DERMATOLOGY MEDICAL GROUP INC
NPI 1275664435
Dermatology in Pasadena, CA

Active since March 08, 2007
800 FAIRMOUNT AVE, SUITE 425, PASADENA, CA 91105(415) 802-1310 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2025, Mar 4, 2025, Aug 22, 2020 (3 updates tracked since 2020).

About Huntington Dermatology Medical Group Inc NPPES

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

HUNTINGTON DERMATOLOGY MEDICAL GROUP INC (NPI 1275664435), doing business as Dynasty Dermatology, is a healthcare organization registered as a dermatology in Pasadena, California and active in the NPI registry since March 2007. The organization lists Seth Anthony Vaccaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1275664435
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHUNTINGTON DERMATOLOGY MEDICAL GROUP INC
Location Address800 FAIRMOUNT AVE, SUITE 425Pasadena, CA 91105-3150
Mailing Address800 Fairmount Ave, Suite 425Pasadena, CA 91105-3150 · (415) 802-1310
Phone(415) 802-1310
Organization SubpartNo
Authorized OfficialSeth Anthony VaccaroOwner · (415) 802-1310
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1275664435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
800 FAIRMOUNT AVE, Pasadena, CA 91105
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Other Names 1

Doing Business AsDynasty 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)

Huntington Dermatology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Huntington Dermatology Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Janice Davolio, M.D.
Dermatology
NPI 1972527521
800 FAIRMOUNT AVE STE 425
Pasadena, CA 91105
(626) 449-9992
✔ PECOS✔ Accepts MedicareSame address
Seth Vaccaro, M.D.
Dermatology
NPI 1477560951
800 FAIRMOUNT AVE SUITE 425
Pasadena, CA 91105
(626) 449-9992
✔ PECOSSame address
Edwin Dovigi, MD
Dermatology
NPI 1588228167
800 FAIRMOUNT AVE STE 425
Pasadena, CA 91105
(626) 449-9992
✔ PECOS✔ Accepts MedicareSame address
Victor Hsue, MD
Plastic and Reconstructive Surgery
NPI 1841814548
248 N ALTADENA DR
Pasadena, CA 91107
(626) 449-9992
✔ PECOS3.1 mi
Joanna Chan, M.D.
Dermatology
NPI 1588714430
3918 LONG BEACH BLVD. SUITE 200
Long Beach, CA 90807
(562) 997-1144
✔ PECOS✔ Accepts Medicare21 mi
Shibani Shah
Nurse Practitioner
NPI 1326719063
1441 AVOCADO AVE STE 409
Newport Beach, CA 92660
(949) 640-4501
✔ PECOS✔ Accepts Medicare39 mi
Annie Liu, MD
Dermatology
NPI 1982319380
1968 S COAST HWY # 1637
Laguna Beach, CA 92651
(714) 202-7128
✔ PECOS✔ Accepts Medicare47 mi
Joseph Del Priore, D.O.
Dermatology
NPI 1932372562
3737 MORAGA AVE STE B412
San Diego, CA 92117
(828) 292-0204
✔ PECOS✔ Accepts Medicare106 mi

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 Huntington Dermatology Medical Group Inc's NPI number?

The NPI number for Huntington Dermatology Medical Group Inc is 1275664435. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Dynasty Dermatology.

Where is Huntington Dermatology Medical Group Inc located?

Huntington Dermatology Medical Group Inc is located at 800 Fairmount Ave Suite 425, Pasadena, CA 91105. The listed phone number is (415) 802-1310.

What is Huntington Dermatology Medical Group Inc's specialty?

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

Is Huntington Dermatology Medical Group Inc enrolled in Medicare?

Yes. Huntington Dermatology Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Huntington Dermatology Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Huntington Dermatology Medical Group Inc. 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 (6), Nurse Practitioner (1) and Plastic and Reconstructive Surgery (1). Of these, 2 practice at this address and 4 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 Huntington Dermatology Medical Group Inc was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.