LASER & SKIN SURGERY CENTER OF NORTHERN CALIFORNIA
NPI 1326150913
Dermatology - Procedural Dermatology in Sacramento, CA
About Laser & Skin Surgery Center Of Northern California NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LASER & SKIN SURGERY CENTER OF NORTHERN CALIFORNIA (NPI 1326150913) is a healthcare organization registered as a procedural dermatology in Sacramento, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Suzanne L Kilmer, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Laser & Skin Surgery Center Of Northern California 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 Laser & Skin Surgery Center Of Northern California, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Mill Valley, CA 94941
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 Waiver 05D1075253
Laser And Skin Surgery Center Of Northern California · Sacramento, CAFrequently 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 Laser & Skin Surgery Medical Group Inc's NPI number?
The NPI number for Laser & Skin Surgery Medical Group Inc is 1326150913. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Laser & Skin Surgery Center Of Northern California.
Where is Laser & Skin Surgery Medical Group Inc located?
Laser & Skin Surgery Medical Group Inc is located at 3835 J St, Sacramento, CA 95816. The listed phone number is (916) 456-0400.
What is Laser & Skin Surgery Medical Group Inc's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Laser & Skin Surgery Medical Group Inc enrolled in Medicare?
Yes. Laser & Skin Surgery Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Laser & Skin Surgery Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Laser & Skin Surgery Medical Group 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Laser & Skin Surgery Medical Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1075253) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Laser & Skin Surgery Medical Group Inc was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Laser & Skin Surgery Center Of Northern California · NPI 1326150913
Procedural Dermatology organization in Sacramento, California. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1326150913 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Legal business name:** Laser & Skin Surgery Medical Group Inc
- **Organization subpart:** No
- **Authorized official:** Suzanne Kilmer, DIRECTOR
## Practice location
- **Address:** 3835 J ST, Sacramento, CA 95816-5520
- **Phone:** (916) 456-0400 · **Fax:** (916) 340-0621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2007
- **Other identifiers:** Medicare PIN ZZZ14636Z (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326150913) · Data from the CMS NPPES public registry.