DERMATOLOGY SPA MED INC
NPI 1356094676
Dermatology in Pismo Beach, CA

Active since January 27, 2022
300 JAMES WAY STE 140, PISMO BEACH, CA 93449(805) 574-1000(805) 574-1300 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Spa Med Inc NPPES

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

DERMATOLOGY SPA MED INC (NPI 1356094676) is a healthcare organization registered as a dermatology in Pismo Beach, California and active in the NPI registry since January 2022. The organization lists Noel Cabezzas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356094676
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPA MED INC
Location Address300 JAMES WAY STE 140Pismo Beach, CA 93449-2874
Mailing Address6000 Physicians Blvd Ste 210Bakersfield, CA 93301-1215 · (661) 327-4499 · Fax (661) 215-6387
Fax(805) 574-1300
Organization SubpartNo
Authorized OfficialNoel CabezzasCeo · (661) 327-4499
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1356094676 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.
300 JAMES WAY STE 140, Pismo Beach, CA 93449

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)

Dermatology Spa Med Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Dermatology Spa Med Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology7
Nurse Practitioner2
Emergency Medicine1
Ophthalmology1

Clinicians, nearest first (11)

Dermatology
NPI 1902867294
120 N MILLER ST STE C
Santa Maria, CA 93454
(805) 739-0033
✔ PECOS17 mi
Nurse Practitioner
NPI 1750190815
915 E STOWELL RD STE B
Santa Maria, CA 93454
(805) 934-5140
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1629412259
978 N TEMPERANCE AVE
Clovis, CA 93611
(559) 951-9000
✔ PECOS✔ Accepts Medicare128 mi
Ophthalmology
NPI 1902916711
7447 N FIGUEROA ST SUITE 200
Los Angeles, CA 90041
(323) 257-3937
✔ PECOS✔ Accepts Medicare155 mi
Dermatology
NPI 1902962954
1901 WESTCLIFF DR STE 2
Newport Beach, CA 92660
(949) 646-3376
✔ PECOS✔ Accepts Medicare187 mi
Dermatology
NPI 1568090272
5010 CAMPUS DR # 140
Newport Beach, CA 92660
(949) 395-6221
✔ PECOS✔ Accepts Medicare188 mi
Dermatology
NPI 1790826394
5575 W LAS POSITAS BLVD STE 260
Pleasanton, CA 94588
(925) 847-3020
✔ PECOS✔ Accepts Medicare190 mi
Nurse Practitioner
NPI 1144616251
100 INDEPENDENCE CIR
Chico, CA 95973
(530) 899-2095
✔ PECOS✔ Accepts Medicare327 mi
Dermatology
NPI 1083054571
127 E MAIN ST STE A
Payson, AZ 85541
(928) 951-0395
✔ PECOS✔ Accepts Medicare533 mi
Dermatology
NPI 1851850721
6000 W SPRING CREEK PKWY STE 200
Plano, TX 75024
(972) 316-4555
✔ PECOS✔ Accepts Medicare1,368 mi
Emergency Medicine
NPI 1326087115
100 W BIG BEAVER RD STE 200
Troy, MI 48084
(413) 438-2273
✔ PECOS✔ Accepts Medicare2,067 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 Dermatology Spa Med Inc's NPI number?

The NPI number for Dermatology Spa Med Inc is 1356094676. It was assigned to this organization in the NPPES registry on January 27, 2022.

Where is Dermatology Spa Med Inc located?

Dermatology Spa Med Inc is located at 300 James Way Ste 140, Pismo Beach, CA 93449. The listed phone number is (805) 574-1000.

What is Dermatology Spa Med Inc's specialty?

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

Is Dermatology Spa Med Inc enrolled in Medicare?

Yes. Dermatology Spa Med Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Spa Med Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Dermatology Spa Med 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. The largest specialties are Dermatology (7), Nurse Practitioner (2) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology Spa Med Inc was last updated on January 27, 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.