SOLANO DERMATOLOGY ASSOCIATES INC
NPI 1356561682
Dermatology in Vacaville, CA

Active since April 27, 2007CLIA 05D1078752 · Certificate of Compliance
600 NUT TREE RD, SUITE 260, VACAVILLE, CA 95687(707) 452-7222(707) 452-8507 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Solano Dermatology Associates Inc NPPES

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

SOLANO DERMATOLOGY ASSOCIATES INC (NPI 1356561682) is a healthcare organization registered as a dermatology in Vacaville, California and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Sandie Fowler, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1356561682
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOLANO DERMATOLOGY ASSOCIATES INC
Location Address600 NUT TREE RD, SUITE 260Vacaville, CA 95687-4669
Mailing Address2290 Sacramento StVallejo, CA 94590-2929 · (707) 643-5785 · Fax (707) 643-5876
Fax(707) 452-8507
Organization SubpartNo
Authorized OfficialSandie FowlerCredentialing Specialist · (707) 556-5991
Enumeration DateApril 27, 2007
Last NPPES UpdateApril 12, 2012
✔ NPI 1356561682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 019731
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.
600 NUT TREE RD, Vacaville, CA 95687

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Solano Dermatology Associates Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Dermatology
NPI 1649217936
480 CHADBOURNE RD SUITE 201
Fairfield, CA 94534
(707) 399-4500
✔ PECOS11 mi
Dermatology
NPI 1033431549
1700 2ND ST STE 220
Napa, CA 94559
(707) 252-2931
✔ PECOS✔ Accepts Medicare19 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1386960961
1700 2ND ST
Napa, CA 94559
(707) 643-5785
✔ PECOS✔ Accepts Medicare19 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1275571028
2290 SACRAMENTO ST
Vallejo, CA 94590
(707) 643-5785
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1518911395
2290 SACRAMENTO ST
Vallejo, CA 94590
(707) 643-5785
✔ PECOS✔ Accepts Medicare24 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1619000791
6431 FAIRMOUNT AVE SUITE 3
El Cerrito, CA 94530
(510) 527-8865
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1215437223
2050 CLARMAR WAY
San Jose, CA 95128
(408) 294-7551
✔ PECOS✔ Accepts Medicare71 mi

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 05D1078752

Solano Dermatology Associates · Vacaville, CA
Active · expires Nov 30, 2026
CLIA Number05D1078752
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorJohn K. Geisse MD
Laboratory Phone(707) 452-7222
Laboratory LocationSolano Dermatology Associates600 Nut Tree Rd, Ste 260, Vacaville, CA 95687
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Solano Dermatology Associates Inc's NPI number?

The NPI number for Solano Dermatology Associates Inc is 1356561682. It was assigned to this organization in the NPPES registry on April 27, 2007.

Where is Solano Dermatology Associates Inc located?

Solano Dermatology Associates Inc is located at 600 Nut Tree Rd Suite 260, Vacaville, CA 95687. The listed phone number is (707) 452-7222.

What is Solano Dermatology Associates Inc's specialty?

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

Is Solano Dermatology Associates Inc enrolled in Medicare?

Yes. Solano Dermatology Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Solano Dermatology Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Solano Dermatology Associates 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 (3), Micrographic Dermatologic Surgery (MDS) (3) and Nurse Practitioner (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Solano Dermatology Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1078752) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Solano Dermatology Associates Inc was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.