PACIFIC DERMATOLOGY & COSMETIC LASER CENTER
NPI 1285961623
Dermatology - Procedural Dermatology in San Diego, CA

NPI Status: Active since November 05, 2009

Contact Information

8899 UNIVERSITY CENTER LN
SUITE 150
SAN DIEGO, CA
ZIP 92122
Phone: (858) 535-1400

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • CLIA Number: 05D2042309
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-07-2028

About PACIFIC DERMATOLOGY & COSMETIC LASER CENTER

This page provides the complete NPI Profile along with additional information for Pacific Dermatology & Cosmetic Laser Center, a provider established in San Diego, California operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1285961623 assigned on November 2009. The practitioner's primary taxonomy code is 207NS0135X with license number 20A7081 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Pacific Dermatology & Cosmetic Laser Center. The authorized official of this NPI record is Dr. Douglas Michael Keel D.o. (President)

NPI
1285961623
Provider Legal Name
DOUGLAS M KEEL DO INC
Other Organization Name
PACIFIC DERMATOLOGY & COSMETIC LASER CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8899 UNIVERSITY CENTER LN SUITE 150 SAN DIEGO, CA 92122
Location Phone
(858) 535-1400
Mailing Address
8899 UNIVERSITY CENTER LN SUITE 150 SAN DIEGO, CA 92122
Mailing Phone
(858) 535-1400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2009
Last Update Date
10-06-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
20A7081
License State
CA
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DOUGLAS MICHAEL KEEL D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(858) 535-1400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2042309
Facility Type
Physician Office
Certificate Effective Date
June 08, 2026
Certificate Expiration Date
June 07, 2028
Laboratory Director
DOUGLAS M. KEEL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pacific Dermatology & Cosmetic Laser Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285961623, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 8 + 6 + 2 + 6 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1285961623.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
8899 UNIVERSITY CENTER LN, SUITE 180
SAN DIEGO, CA 92122
Obstetrics & Gynecology (Reproductive Endocrinology)
8899 UNIVERSITY CENTER LN, SUITE 100
SAN DIEGO, CA 92122
Dentist (General Practice)
8899 UNIVERSITY CENTER LN, STE. 245
SAN DIEGO, CA 92122
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
8899 UNIVERSITY CENTER LN, SUITE 100 SAN DIEGO
SAN DIEGO, CA 92122
Obstetrics & Gynecology (Reproductive Endocrinology)
8899 UNIVERSITY CENTER LN, SUITE 100
SAN DIEGO, CA 92122
Plastic Surgery
8899 UNIVERSITY CENTER LN, SUITE 350
SAN DIEGO, CA 92122
Specialist
8899 UNIVERSITY CENTER LN, SUITE 370
SAN DIEGO, CA 92122
Psychologist (Clinical)
8899 UNIVERSITY CENTER LN, SUITE 170
SAN DIEGO, CA 92122
Dermatology
8899 UNIVERSITY CENTER LN, SUITE 350
SAN DIEGO, CA 92122
Dentist (Periodontics)
8899 UNIVERSITY CENTER LN, SUITE 100
SAN DIEGO, CA 92122
Psychologist (Clinical)
8899 UNIVERSITY CENTER LN, SUITE 170
SAN DIEGO, CA 92122
Dermatology
8899 UNIVERSITY CENTER LN, SUITE 350
SAN DIEGO, CA 92122
Radiology (Diagnostic Radiology)
8899 UNIVERSITY CENTER LN, SUITE 370
SAN DIEGO, CA 92122
Internal Medicine (Cardiovascular Disease)
8899 UNIVERSITY CENTER LN, SUITE 100
SAN DIEGO, CA 92122
Dermatology
8899 UNIVERSITY CENTER LN
SAN DIEGO, CA 92122
Student in an Organized Health Care Education/Training Program
8899 UNIVERSITY CENTER LN, SUITE 350
SAN DIEGO, CA 92122
Dermatology (Procedural Dermatology)
8899 UNIVERSITY CENTER LN, SUITE 150
SAN DIEGO, CA 92122
Dentist (General Practice)
8899 UNIVERSITY CENTER LN, SUITE 110
SAN DIEGO, CA 92122
Internal Medicine
8899 UNIVERSITY CENTER LN
SAN DIEGO, CA 92122
Physician Assistant
8899 UNIVERSITY CENTER LN
SAN DIEGO, CA 92122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285961623, enumerated as an "organization" on November 05, 2009.

The provider is located at 8899 UNIVERSITY CENTER LN SUITE 150 SAN DIEGO, CA 92122 and the phone number is (858) 535-1400.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.