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SOEPRONO MEDICAL CORPORATION
NPI 1306194261
Dermatology - Dermatopathology in Redlands, CA

Active since August 27, 2012
255 TERRACINA BLVD, STE 206, REDLANDS, CA 92373(909) 792-8600(909) 792-8660 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Soeprono Medical Corporation NPPES

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

SOEPRONO MEDICAL CORPORATION (NPI 1306194261) is a healthcare organization registered as a dermatopathology in Redlands, California and active in the NPI registry since August 2012. The organization lists Fred F Soeprono, President, as its authorized official.

NPPES Registry Identity

NPI1306194261
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameSOEPRONO MEDICAL CORPORATION
Location Address255 TERRACINA BLVD, STE 206Redlands, CA 92373-4870
Mailing AddressPo Box 1180Loma Linda, CA 92354-1180 · (909) 792-8600 · Fax (909) 792-8660
Phone(909) 792-8600
Fax(909) 792-8660
Organization SubpartNo
Authorized OfficialFred F SoepronoPresident · (951) 203-5000
Enumeration DateAugust 27, 2012
Last NPPES UpdateSeptember 6, 2012
✔ NPI 1306194261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in CA · G28216
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 005D0573825 (CA)
255 TERRACINA BLVD, Redlands, CA 92373
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Other Identifiers 1

Medicare UPINA43652

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soeprono Medical Corporation 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 Soeprono Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fred Soeprono, M.D.
Dermatology
NPI 1659485746
25084 BARTON RD APT B
Loma Linda, CA 92354
(909) 796-2211
✔ PECOS✔ Accepts Medicare3.0 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 Soeprono Medical Corporation's NPI number?

The NPI number for Soeprono Medical Corporation is 1306194261. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Soeprono Medical Corporation located?

Soeprono Medical Corporation is located at 255 Terracina Blvd Ste 206, Redlands, CA 92373. The listed phone number is (909) 792-8600.

What is Soeprono Medical Corporation's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Soeprono Medical Corporation enrolled in Medicare?

Yes. Soeprono Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soeprono Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Soeprono Medical Corporation. 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.

When was this NPI record last updated?

The NPPES record for Soeprono Medical Corporation was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.