SUBLIME MD
NPI 1396400230
Dermatology in Redlands, CA

Active since November 05, 2021
255 TERRACINA BLVD STE 206, REDLANDS, CA 92373(909) 792-8600 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 27, 2022, Nov 5, 2021 (2 updates tracked since 2021).

About Sublime Md NPPES

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

SUBLIME MD (NPI 1396400230) is a healthcare organization registered as a dermatology in Redlands, California and active in the NPI registry since November 2021. The organization maintains 2 additional practice locations and lists Ronnie Nathan Dawood, President, as its authorized official.

NPPES Registry Identity

NPI1396400230
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUBLIME MD, A PROFESSIONAL MEDICAL CORPORATION
Location Address255 TERRACINA BLVD STE 206Redlands, CA 92373-4870
Mailing Address7095 Indiana Ave Ste 210Riverside, CA 92506-4159 · (951) 218-9910 · Fax (888) 561-4883
Organization SubpartNo
Authorized OfficialRonnie Nathan DawoodPresident · (949) 367-1115
Enumeration DateNovember 5, 2021
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1396400230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedRegistered NurseTaxonomy 163W00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
255 TERRACINA BLVD STE 206, Redlands, CA 92373

Other Names 1

Doing Business AsSublime Md

Secondary Practice Locations 2

Location 126342 Oso Pkwy Ste 204Mission Viejo, CA 92691-5649 · Phone (951) 222-2212 · Fax (888) 561-4883
Location 27095 Indiana Ave Ste 210Riverside, CA 92506-4159 · Phone (951) 218-9910 · Fax (888) 561-4883

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sublime MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1851593065
26342 OSO PKWY SUITE 204
Mission Viejo, CA 92691
(949) 367-1115
✔ PECOS✔ Accepts Medicare41 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 Sublime MD, A Professional Medical Corporation's NPI number?

The NPI number for Sublime MD, A Professional Medical Corporation is 1396400230. It was assigned to this organization in the NPPES registry on November 5, 2021. The provider is doing business as Sublime MD.

Where is Sublime MD, A Professional Medical Corporation located?

Sublime MD, A Professional Medical Corporation is located at 255 Terracina Blvd Ste 206, Redlands, CA 92373. The listed phone number is (909) 792-8600.

What is Sublime MD, A Professional Medical Corporation's specialty?

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

Is Sublime MD, A Professional Medical Corporation enrolled in Medicare?

Yes. Sublime MD, A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sublime MD, A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sublime MD, A Professional Medical Corporation. 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.

When was this NPI record last updated?

The NPPES record for Sublime MD, A Professional Medical Corporation was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.