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SKINPHYSICIANS & SURGEONS, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1356411524
Dermatology in Upland, CA

Active since November 08, 2006
859 E FOOTHILL BLVD STE B, UPLAND, CA 91786(909) 981-8929(909) 946-9740 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Feb 9, 2022, Jan 26, 2022 (3 updates tracked since 2022).

About Skinphysicians & Surgeons, A Forefront Dermatology Practice NPPES

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

SKINPHYSICIANS & SURGEONS, A FOREFRONT DERMATOLOGY PRACTICE (NPI 1356411524) is a healthcare organization registered as a dermatology in Upland, California and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Chino and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1356411524
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKINPHYSICIANS & SURGEONS MEDICAL GROUP, INC.
Location Address859 E FOOTHILL BLVD STE BUpland, CA 91786-4085
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(909) 981-8929
Fax(909) 946-9740
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateNovember 8, 2006
Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1356411524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
859 E FOOTHILL BLVD STE B, Upland, CA 91786
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Other Names 1

Doing Business AsSkinphysicians & Surgeons, A Forefront Dermatology Practice

Secondary Practice Location 1

Location 18401 Pine Ave Ste 120Chino, CA 91708-9658 · Phone (909) 789-0937 · Fax (909) 654-3039

Group Practice 2

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
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

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 05D1012717

Skin Physicians & Surgeons Medical Group Inc Dba Skin Physicians & Surgeons, A Forefront Derm · Upland, CA
Expired · Jul 31, 2026
CLIA Number05D1012717
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorJeffrey C. Rebish MD
Laboratory Phone(909) 981-8929
Laboratory LocationSkin Physicians & Surgeons Medical Group Inc Dba Skin Physicians & Surgeons, A Forefront Derm859 E Foothill, Blvd Ste B, Upland, CA 91786
CLIA data matches this NPI record on: Address 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 4

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

DR. SANDRA LEE REBISH MD
Dermatology
859 E FOOTHILL BLVD STE B
UPLAND, CA 91786
San Bernardino County (909) 981-8929
FOREFRONT DERMATOLOGY - PACIFIC, P.C.
Dermatology
859 E FOOTHILL BLVD STE B
UPLAND, CA 91786
San Bernardino County (909) 981-8929
JEFFREY CRAIG REBISH MD
Dermatology
859 E FOOTHILL BLVD STE B
UPLAND, CA 91786
San Bernardino County (909) 981-8929
LISA FAYE FRONEK DO
Dermatology (MOHS-Micrographic Surgery)
859 E FOOTHILL BLVD STE B
UPLAND, CA 91786
San Bernardino County (909) 981-8929

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 Skinphysicians & Surgeons Medical Group, Inc.'s NPI number?

The NPI number for Skinphysicians & Surgeons Medical Group, Inc. is 1356411524. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Skinphysicians & Surgeons, A Forefront Dermatology Practice.

Where is Skinphysicians & Surgeons Medical Group, Inc. located?

Skinphysicians & Surgeons Medical Group, Inc. is located at 859 E Foothill Blvd Ste B, Upland, CA 91786. The listed phone number is (909) 981-8929.

What is Skinphysicians & Surgeons Medical Group, 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 Skinphysicians & Surgeons Medical Group, Inc. was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.