DERMATOLOGY SPA MED INC
NPI 1356094676
Dermatology in Pismo Beach, CA
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
Specialties & Licenses
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)
Dermatology Spa Med Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare 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
Clinicians, nearest first (11)
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.