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ADVANCED DERMATOLOGY AND LASER CENTER
NPI 1346441276
Dermatology in Redlands, CA

Active since May 29, 2007
255 TERRACINA BLVD, SUITE 206, REDLANDS, CA 92373(909) 792-8600(909) 792-8660 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Dermatology And Laser Center NPPES

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

ADVANCED DERMATOLOGY AND LASER CENTER (NPI 1346441276) is a healthcare organization registered as a dermatology in Redlands, California and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Riverside and lists Ronnie Nathan Dawood, Physician, as its authorized official.

NPPES Registry Identity

NPI1346441276
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFRED F. SOEPRONO, M.D., INC.
Location Address255 TERRACINA BLVD, SUITE 206Redlands, CA 92373-4870
Mailing Address255 Terracina Blvd Ste 206Redlands, CA 92373-4870 · (909) 792-8600 · Fax (909) 792-8660
Phone(909) 792-8600
Fax(909) 792-8660
Organization SubpartNo
Authorized OfficialRonnie Nathan DawoodPhysician · (949) 367-1115
Enumeration DateMay 29, 2007
Last NPPES UpdateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1346441276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
255 TERRACINA BLVD, Redlands, CA 92373
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Other Names 2

Doing Business AsAdvanced Dermatology And Laser Center
Other NameAdvanced Dermatology & Laser Center

Secondary Practice Location 1

Location 17095 Indiana Ave Ste 210Riverside, CA 92506-4159 · Phone (951) 218-9910 · Fax (909) 792-8660

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 SINGLE 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)

Advanced Dermatology And Laser Center 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 Advanced Dermatology And Laser Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronnie Dawood, M.D.
Internal Medicine
NPI 1851593065
26342 OSO PKWY SUITE 204
Mission Viejo, CA 92691
(949) 367-1115
✔ PECOS✔ Accepts Medicare41 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 Fred F. Soeprono, M.D., Inc.'s NPI number?

The NPI number for Fred F. Soeprono, M.D., Inc. is 1346441276. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Advanced Dermatology And Laser Center. The provider is also known as Advanced Dermatology & Laser Center.

Where is Fred F. Soeprono, M.D., Inc. located?

Fred F. Soeprono, M.D., Inc. is located at 255 Terracina Blvd Suite 206, Redlands, CA 92373. The listed phone number is (909) 792-8600.

What is Fred F. Soeprono, M.D., Inc.'s specialty?

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

Is Fred F. Soeprono, M.D., Inc. enrolled in Medicare?

Yes. Fred F. Soeprono, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fred F. Soeprono, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Fred F. Soeprono, M.D., 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fred F. Soeprono, M.D., Inc. was last updated on December 7, 2021. 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.