INTEGRATED DERMATOLOGY OF WESTLAKE VILLAGE, PC
NPI 1295302917
Dermatology in Westlake Village, CA
About Integrated Dermatology Of Westlake Village, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED DERMATOLOGY OF WESTLAKE VILLAGE, PC (NPI 1295302917) is a healthcare organization registered as a dermatology in Westlake Village, California and active in the NPI registry since June 2021. The organization lists Jennifer T Haley, Authorized Group Officials, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Dermatology Of Westlake Village, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Integrated Dermatology Of Westlake Village, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Westlake Village, CA 91361
Westlake Village, CA 91361
Westlake Village, CA 91361
Westlake Village, CA 91361
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 Integrated Dermatology Of Westlake Village, PC's NPI number?
The NPI number for Integrated Dermatology Of Westlake Village, PC is 1295302917. It was assigned to this organization in the NPPES registry on June 10, 2021.
Where is Integrated Dermatology Of Westlake Village, PC located?
Integrated Dermatology Of Westlake Village, PC is located at 1240 S Westlake Blvd Ste 205, Westlake Village, CA 91361. The listed phone number is (805) 495-0551.
What is Integrated Dermatology Of Westlake Village, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Integrated Dermatology Of Westlake Village, PC enrolled in Medicare?
Yes. Integrated Dermatology Of Westlake Village, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Dermatology Of Westlake Village, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Integrated Dermatology Of Westlake Village, PC. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrated Dermatology Of Westlake Village, PC was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.