SKINPHYSICIANS & SURGEONS, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1356411524
Dermatology in Upland, CA
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 holds a CLIA Certificate of Compliance certificate valid through October 8, 2027, maintains a secondary practice location in Chino, and lists Betsy J Wernli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skinphysicians & Surgeons, A Forefront Dermatology Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Skinphysicians & Surgeons, A Forefront Dermatology Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Skinphysicians & Surgeons Medical Group, Inc. enrolled in Medicare?
Yes. Skinphysicians & Surgeons Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Skinphysicians & Surgeons Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Skinphysicians & Surgeons Medical Group, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Skinphysicians & Surgeons Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D1012717) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 3 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.
# Skinphysicians & Surgeons, A Forefront Dermatology Practice · NPI 1356411524
Dermatology organization in Upland, California. Organization record, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1356411524 (Entity type: Organization)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Skinphysicians & Surgeons Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Betsy Wernli, PRESIDENT
## Practice location
- **Address:** 859 E FOOTHILL BLVD STE B, Upland, CA 91786-4085
- **Phone:** (909) 981-8929 · **Fax:** (909) 946-9740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356411524) · Data from the CMS NPPES public registry.