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HODARI MD DERMATOLOGY
NPI 1376025429
Dermatology in Yuba City, CA

Active since September 05, 2018CLIA 05D2159733 · Certificate of Compliance
1178 LIVE OAK BLVD, YUBA CITY, CA 95991(530) 342-3686 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2023, Sep 1, 2020, Jan 11, 2019 and 1 more (4 updates tracked since 2018).

About Hodari Md Dermatology NPPES

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

HODARI MD DERMATOLOGY (NPI 1376025429) is a healthcare organization registered as a dermatology in Yuba City, California and active in the NPI registry since September 2018. The organization holds a CLIA Certificate of Compliance certificate valid through July 29, 2027 and lists Jennifer Thomson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1376025429
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHODARI MD DERMATOLOGY, INC.
Location Address1178 LIVE OAK BLVDYuba City, CA 95991-3407
Mailing Address1178 Live Oak BlvdYuba City, CA 95991-3407 · (530) 329-8511 · Fax (530) 329-8598
Phone(530) 342-3686
Organization SubpartNo
Authorized OfficialJennifer ThomsonPractice Manager · (530) 894-6832
Enumeration DateSeptember 5, 2018
Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1376025429 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.
1178 LIVE OAK BLVD, Yuba City, CA 95991
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Other Names 1

Doing Business AsHodari Md Dermatology

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)

Hodari Md Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Hodari MD Dermatology, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Jenine Tanabe, M.D.
Dermatology
NPI 1558466680
414 G ST STE 204
Marysville, CA 95901
(530) 743-0301
✔ PECOS✔ Accepts Medicare17 mi
Kafele Hodari, MD
Dermatology
NPI 1952527319
80 DECLARATION DR
Chico, CA 95973
(530) 894-6832
✔ PECOS✔ Accepts Medicare45 mi
Ann Frisius, FNP-C
Nurse Practitioner
NPI 1164197422
100 INDEPENDENCE CIR
Chico, CA 95973
(530) 899-9393
✔ PECOS✔ Accepts Medicare45 mi
Jina Bryant, NP
Nurse Practitioner
NPI 1538419809
1361 CORTINA DR STE A
Orland, CA 95963
(530) 865-3400
✔ PECOS51 mi
Erik Cabral, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1023252350
555 S DORA ST
Ukiah, CA 95482
(707) 462-3996
✔ PECOS✔ Accepts Medicare85 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 05D2159733

Hodari MD Dermatology · Yuba City, CA
Active · expires Jul 29, 2027
CLIA Number05D2159733
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorKafele T. Hodari
Laboratory Phone(530) 342-8295
Laboratory LocationHodari MD Dermatology1178 Live Oak Blvd, Yuba City, CA 95991
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.

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 Hodari MD Dermatology, Inc.'s NPI number?

The NPI number for Hodari MD Dermatology, Inc. is 1376025429. It was assigned to this organization in the NPPES registry on September 5, 2018. The provider is doing business as Hodari MD Dermatology.

Where is Hodari MD Dermatology, Inc. located?

Hodari MD Dermatology, Inc. is located at 1178 Live Oak Blvd, Yuba City, CA 95991. The listed phone number is (530) 342-3686.

What is Hodari MD Dermatology, Inc.'s specialty?

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

Is Hodari MD Dermatology, Inc. enrolled in Medicare?

Yes. Hodari MD Dermatology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hodari MD Dermatology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Hodari MD Dermatology, Inc., in Dermatology, Micrographic Dermatologic Surgery (MDS) 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hodari MD Dermatology, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2159733) is associated with this NPI, valid through July 29, 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 Hodari MD Dermatology, Inc. was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.