DERMATOLOGY MEDICAL GROUP OF SAN FRANCISCO, INC
NPI 1316924244
Specialist in San Francisco, CA
- Organization
- Specialist
- CLIA Number: 05D0593365
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2026
About DERMATOLOGY MEDICAL GROUP OF SAN FRANCISCO, INC
This page provides the complete NPI Profile along with additional information for Dermatology Medical Group Of San Francisco, Inc, a provider established in San Francisco, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1316924244 assigned on December 2005. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 16 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 authorized official of this NPI record is Irene V Tam (Office Manager)
- NPI
- 1316924244 Verify this NPI
- Provider Name
- DERMATOLOGY MEDICAL GROUP OF SAN FRANCISCO, INC
- Entity Type
- Organization
- Location Address
- 490 POST ST SUITE 700 SAN FRANCISCO, CA 94102
- Location Phone
- (415) 362-2238
- Location Fax
- (415) 362-7745
- Mailing Address
- 490 POST ST SUITE 700 SAN FRANCISCO, CA 94102
- Mailing Phone
- (415) 362-2238
- Mailing Fax
- (415) 362-7745
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-30-2005
- Last Update Date
- 09-03-2010
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ14910Z | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
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
- 05D0593365
- Facility Type
- Physician Office
- Certificate Effective Date
- March 10, 2022
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- DR. MARGARET C. SCULLY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Dermatology Medical Group Of San Francisco, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
SAN FRANCISCO, CA 94102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316924244, enumerated as an "organization" on December 30, 2005.
The provider is located at 490 POST ST SUITE 700 SAN FRANCISCO, CA 94102 and the phone number is (415) 362-2238.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
