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DERMATOLOGICARE MEDICAL CORPORATION
NPI 1306940465
Dermatology in Beverly Hills, CA

Active since September 11, 2006CLIA 05D0995727 · Certificate of Compliance
414 N CAMDEN DR, SUITE 1001, BEVERLY HILLS, CA 90210(310) 247-0337(310) 247-0343 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatologicare Medical Corporation NPPES

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

DERMATOLOGICARE MEDICAL CORPORATION (NPI 1306940465) is a healthcare organization registered as a dermatology in Beverly Hills, California and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 28, 2028 and lists Reza Babapour, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1306940465
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGICARE MEDICAL CORPORATION
Location Address414 N CAMDEN DR, SUITE 1001Beverly Hills, CA 90210-4532
Mailing Address414 N Camden Dr, Suite 1001Beverly Hills, CA 90210-4532 · (310) 247-0337 · Fax (310) 247-0343
Phone(310) 247-0337
Fax(310) 247-0343
Organization SubpartNo
Authorized OfficialReza BabapourMd Owner · (310) 247-0337
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 10, 2016
✔ NPI 1306940465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G77137
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.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License G77137 (CA)
414 N CAMDEN DR, Beverly Hills, CA 90210
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Other Identifiers 2

Medicare UPINH23584
Medicare ID-Type UnspecifiedW15559CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinician (1)

Reza Babapour, MD
Dermatology
NPI 1689780710
414 N CAMDEN DR SUITE 1001
Beverly Hills, CA 90210
(310) 247-0337
✔ 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 of Compliance 05D0995727

Dermatologicare A Medical Corporation · Beverly Hills, CA
Active · expires May 28, 2028
CLIA Number05D0995727
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorDr. Reza Babapour MD
Laboratory Phone(310) 247-0337
Laboratory LocationDermatologicare A Medical Corporation414 N Camden Dr, Ste 1001, Beverly Hills, CA 90210
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dermatologicare Medical Corporation's NPI number?

The NPI number for Dermatologicare Medical Corporation is 1306940465. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is Dermatologicare Medical Corporation located?

Dermatologicare Medical Corporation is located at 414 N Camden Dr Suite 1001, Beverly Hills, CA 90210. The listed phone number is (310) 247-0337.

What is Dermatologicare Medical Corporation's specialty?

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

Is Dermatologicare Medical Corporation enrolled in Medicare?

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

How many clinicians bill Medicare through Dermatologicare Medical Corporation?

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

Does Dermatologicare Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0995727) is associated with this NPI, valid through May 28, 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 Dermatologicare Medical Corporation was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.