SAN FRANCISCO DERMATOPATHOLOGY INSTITUTE PROFESSIONAL CORPORATION
NPI 1366863318
Clinical Medical Laboratory in Daly City, CA
About San Francisco Dermatopathology Institute Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN FRANCISCO DERMATOPATHOLOGY INSTITUTE PROFESSIONAL CORPORATION (NPI 1366863318) is a healthcare organization registered as a clinical medical laboratory in Daly City, California and active in the NPI registry since December 2013. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Gary W Oliver, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Francisco Dermatopathology Institute Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to San Francisco Dermatopathology Institute Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 05D2069498
San Francisco Dermatopathology Institute · Daly City, 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 San Francisco Dermatopathology Institute Professional Corporation's NPI number?
The NPI number for San Francisco Dermatopathology Institute Professional Corporation is 1366863318. It was assigned to this organization in the NPPES registry on December 18, 2013.
Where is San Francisco Dermatopathology Institute Professional Corporation located?
San Francisco Dermatopathology Institute Professional Corporation is located at 1618 Sullivan Ave. Suite 105, Daly City, CA 94015. The listed phone number is (650) 756-5500.
What is San Francisco Dermatopathology Institute Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is San Francisco Dermatopathology Institute Professional Corporation enrolled in Medicare?
Yes. San Francisco Dermatopathology Institute Professional Corporation is registered in the Medicare PECOS enrollment system.
When is San Francisco Dermatopathology Institute Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through San Francisco Dermatopathology Institute Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to San Francisco Dermatopathology Institute Professional Corporation, in Dermatology and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does San Francisco Dermatopathology Institute Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D2069498) 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 San Francisco Dermatopathology Institute Professional Corporation was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# San Francisco Dermatopathology Institute Professional Corporation · NPI 1366863318
Clinical Medical Laboratory organization in Daly City, California. Organization record, active in the CMS NPPES registry since December 18, 2013.
## Identity
- **NPI:** 1366863318 (Entity type: Organization)
- **Enumerated:** December 18, 2013
- **Primary specialty:** Clinical Medical Laboratory · taxonomy 291U00000X
- **Organization subpart:** No
- **Authorized official:** Gary Oliver, DIRECTOR
## Practice location
- **Address:** 1618 SULLIVAN AVE., SUITE 105, Daly City, CA 94015-1968
- **Phone:** (650) 756-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2013
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1366863318) · Data from the CMS NPPES public registry.