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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: August 16, 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
Phone(858) 736-9900
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 · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
3750 CONVOY ST STE 155, San Diego, CA 92111
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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 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 05D2320130

Maven Dermatology Apc · San Diego, CA
Active · expires Mar 11, 2027
CLIA Number05D2320130
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorJusleen Ahluwalia
Laboratory Phone(858) 860-4420
Laboratory LocationMaven Dermatology Apc3750 Convoy St Ste 155, San Diego, CA 92111
CLIA data matches this NPI record on: Address Name
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 2

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

DR. JUSLEEN AHLUWALIA M.D.
Dermatology
3750 CONVOY ST STE 155
SAN DIEGO, CA 92111
San Diego County (858) 736-9900
MELISSA MARIE GILBERT PA-C
Physician Assistant (Medical)
3750 CONVOY ST STE 155
SAN DIEGO, CA 92111
San Diego County (858) 736-9900

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 Maven Dermatology Apc's NPI number?

The NPI number for Maven Dermatology Apc is 1366124539. It was assigned to this organization in the NPPES registry on August 7, 2023.

Where is Maven Dermatology Apc located?

Maven Dermatology Apc is located at 3750 Convoy St Ste 155, San Diego, CA 92111. The listed phone number is (858) 736-9900.

What is Maven Dermatology Apc's specialty?

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

Does Maven Dermatology Apc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2320130) is associated with this NPI, valid through March 11, 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 Maven Dermatology Apc was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.