MAVEN DERMATOLOGY APC
NPI 1366124539
Dermatology in San Diego, CA

Active since August 07, 2023CLIA 05D2320130 · Certificate of Compliance
3750 CONVOY ST STE 155, SAN DIEGO, CA 92111(858) 736-9900(858) 736-0661 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2025, Aug 7, 2023 (2 updates tracked since 2023).

About Maven Dermatology Apc NPPES

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

MAVEN DERMATOLOGY APC (NPI 1366124539) is a healthcare organization registered as a dermatology in San Diego, California and active in the NPI registry since August 2023. The organization holds a CLIA Certificate of Compliance certificate valid through March 11, 2027 and lists Jusleen Ahluwalia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366124539
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMAVEN DERMATOLOGY APC
Location Address3750 CONVOY ST STE 155San Diego, CA 92111-3739
Mailing Address3750 Convoy St Ste 155San Diego, CA 92111-3739 · (858) 736-9900 · Fax (858) 736-0661
Fax(858) 736-0661
Organization SubpartNo
Authorized OfficialJusleen AhluwaliaCeo · (858) 736-9900
Enumeration DateAugust 7, 2023
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1366124539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
3750 CONVOY ST STE 155, San Diego, CA 92111

Other Identifiers 1

OtherA144826CA · California Medical License

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2320130
Facility Type
Physician Office
Certificate Effective Date
March 12, 2025
Certificate Expiration Date
March 11, 2027
Laboratory Director
JUSLEEN AHLUWALIA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Maven Dermatology Apc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
3750 CONVOY ST STE 155
SAN DIEGO, CA 92111
Dermatology
3750 CONVOY ST STE 155
SAN DIEGO, CA 92111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366124539, enumerated as an "organization" on August 07, 2023.

The provider is located at 3750 CONVOY ST STE 155 SAN DIEGO, CA 92111 and the phone number is (858) 736-9900.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.