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

Q: What is Douglas M Keel Do Inc's NPI number?

The NPI number for Douglas M Keel Do Inc is 1285961623. It was assigned to this organization in the NPPES registry on November 5, 2009. The provider is doing business as Pacific Dermatology & Cosmetic Laser Center.

Q: What is Douglas M Keel Do Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since November 05, 2009CLIA 05D2042309 · Microscopy

8899 UNIVERSITY CENTER LN, SUITE 150, SAN DIEGO, CA 92122(858) 535-1400 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pacific Dermatology & Cosmetic Laser Center NPPES

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

PACIFIC DERMATOLOGY & COSMETIC LASER CENTER (NPI 1285961623) is a healthcare organization registered as a procedural dermatology in San Diego, California and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through June 7, 2028 and lists Douglas Michael Keel, President, as its authorized official.

NPPES Registry Identity

NPI1285961623

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameDOUGLAS M KEEL DO INC

Location Address8899 UNIVERSITY CENTER LN, SUITE 150San Diego, CA 92122-1013

Mailing Address8899 University Center Ln, Suite 150San Diego, CA 92122-1013 · (858) 535-1400

Phone(858) 535-1400

Organization SubpartNo

Authorized OfficialDouglas Michael KeelPresident · (858) 535-1400

Enumeration DateNovember 5, 2009

Last NPPES UpdateOctober 6, 2022

NPPES CertifiedOctober 6, 2022

✔ NPI 1285961623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in CA · 20A7081

Definition

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).

8899 UNIVERSITY CENTER LN, San Diego, CA 92122

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Other Names 1

Doing Business AsPacific Dermatology & Cosmetic Laser Center

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)

Pacific Dermatology & Cosmetic Laser Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Dermatology & Cosmetic Laser Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Douglas Keel, D.O.

Dermatology

NPI 1154320075

8899 UNIVERSITY CENTER LN SUITE 150
San Diego, CA 92122

(858) 535-1400

✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2042309

Pacific Dermatology & Cosmetic Laser Center · San Diego, CA

Active · expires Jun 7, 2028

CLIA Number05D2042309

Laboratory TypePhysician Office

Certificate Effective DateJune 8, 2026

Certificate Expiration DateJune 7, 2028

Laboratory DirectorDouglas M. Keel

Laboratory Phone(858) 535-1400

Laboratory LocationPacific Dermatology & Cosmetic Laser Center8899 University Center Lane Ste 150, San Diego, CA 92122

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Douglas M Keel Do Inc's NPI number?

The NPI number for Douglas M Keel Do Inc is 1285961623. It was assigned to this organization in the NPPES registry on November 5, 2009. The provider is doing business as Pacific Dermatology & Cosmetic Laser Center.

Where is Douglas M Keel Do Inc located?

Douglas M Keel Do Inc is located at 8899 University Center Ln Suite 150, San Diego, CA 92122. The listed phone number is (858) 535-1400.

What is Douglas M Keel Do Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Douglas M Keel Do Inc enrolled in Medicare?

Yes. Douglas M Keel Do Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas M Keel Do Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Douglas M Keel Do 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Douglas M Keel Do Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2042309) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Douglas M Keel Do Inc was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.