ORISEK AND MCCASKILL MEDICAL GROUP, INC.
NPI 1336873546
Dermatology in Granite Bay, CA

Active since July 13, 2022CLIA 05D2312128 · Certificate of Compliance
4080 CAVITT STALLMAN RD STE 100A, GRANITE BAY, CA 95746(916) 771-0715 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orisek And Mccaskill Medical Group, Inc. NPPES

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

ORISEK AND MCCASKILL MEDICAL GROUP, INC. (NPI 1336873546) is a healthcare organization registered as a dermatology in Granite Bay, California and active in the NPI registry since July 2022. The organization holds a CLIA Certificate of Compliance certificate valid through April 2, 2028 and lists Michel Maxsom, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1336873546
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameORISEK AND MCCASKILL MEDICAL GROUP, INC.
Location Address4080 CAVITT STALLMAN RD STE 100AGranite Bay, CA 95746-9049
Mailing Address4080 Cavitt Stallman Rd Ste 100aGranite Bay, CA 95746-9049 · (916) 771-0715
Organization SubpartNo
Authorized OfficialMichel MaxsomBusiness Manager · (916) 871-5624
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
NPI 1336873546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
4080 CAVITT STALLMAN RD STE 100A, Granite Bay, CA 95746

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 05D2312128

Orisek And Mccaskill Medical Group Inc · Granite Bay, CA
Active · expires Apr 2, 2028
CLIA Number05D2312128
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorAudrey E. Winn
Laboratory Phone(916) 771-0715
Laboratory LocationOrisek And Mccaskill Medical Group Inc4080 Cavitt Stallman Rd, Suite 100A, Granite Bay, CA 95746
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4080 CAVITT STALLMAN RD STE 100A
GRANITE BAY, CA 95746
Nurse Practitioner
4080 CAVITT STALLMAN RD STE 100A
GRANITE BAY, CA 95746

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 Orisek And Mccaskill Medical Group, Inc.'s NPI number?

The NPI number for Orisek And Mccaskill Medical Group, Inc. is 1336873546. It was assigned to this organization in the NPPES registry on July 13, 2022.

Where is Orisek And Mccaskill Medical Group, Inc. located?

Orisek And Mccaskill Medical Group, Inc. is located at 4080 Cavitt Stallman Rd Ste 100A, Granite Bay, CA 95746. The listed phone number is (916) 771-0715.

What is Orisek And Mccaskill Medical Group, Inc.'s specialty?

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

Does Orisek And Mccaskill Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2312128) is associated with this NPI, valid through April 2, 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 Orisek And Mccaskill Medical Group, Inc. was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.