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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: August 02, 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
Phone(805) 574-1000
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
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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

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.

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.