SANTA MONICA DERMATOLOGY GROUP
NPI 1356870067
Dermatology in Santa Monica, CA

Active since June 06, 2017
2001 SANTA MONICA BLVD STE 990W, SANTA MONICA, CA 90404(310) 829-4484 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2025, Jul 21, 2022, Jul 2, 2018 and 1 more (4 updates tracked since 2017).

About Santa Monica Dermatology Group NPPES

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

SANTA MONICA DERMATOLOGY GROUP (NPI 1356870067) is a healthcare organization registered as a dermatology in Santa Monica, California and active in the NPI registry since June 2017. The organization lists Maria Mendoza, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356870067
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSANTA MONICA DERMATOLOGY GROUP
Location Address2001 SANTA MONICA BLVD STE 990WSanta Monica, CA 90404
Mailing Address2001 Santa Monica Blvd Ste 990wSanta Monica, CA 90404-2155 · (310) 829-4484
Organization SubpartNo
Authorized OfficialMaria MendozaOffice Manager · (310) 829-4484
Enumeration DateJune 6, 2017
Last NPPES UpdateMay 22, 20254 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1356870067 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.
2001 SANTA MONICA BLVD STE 990W, Santa Monica, CA 90404

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Santa Monica Dermatology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Santa Monica Dermatology Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Micrographic Dermatologic Surgery (MDS)
NPI 1750575247
2001 SANTA MONICA BLVD SUITE 990-W
Santa Monica, CA 90404
(310) 829-4484
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1316915267
2001 SANTA MONICA BLVD 990W
Santa Monica, CA 90404
(310) 829-4484
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1619024502
2001 SANTA MONICA BLVD STE 990W
Santa Monica, CA 90404
(310) 829-4484
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1063916906
901 WILSHIRE BLVD FL 1
Santa Monica, CA 90401
(310) 829-8441
✔ PECOS✔ Accepts Medicare0.9 mi

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 Santa Monica Dermatology Group's NPI number?

The NPI number for Santa Monica Dermatology Group is 1356870067. It was assigned to this organization in the NPPES registry on June 6, 2017.

Where is Santa Monica Dermatology Group located?

Santa Monica Dermatology Group is located at 2001 Santa Monica Blvd Ste 990W, Santa Monica, CA 90404. The listed phone number is (310) 829-4484.

What is Santa Monica Dermatology Group's specialty?

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

Is Santa Monica Dermatology Group enrolled in Medicare?

Yes. Santa Monica Dermatology Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Monica Dermatology Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Santa Monica Dermatology Group. 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) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Santa Monica Dermatology Group was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.