WARRENTON DERMATOLOGY & SKIN THERAPY CENTER
NPI 1396778205
Dermatology in Warrenton, VA

Active since July 07, 2006CLIA Certified · 2 labs
28 BLACKWELL PARK LN, SUITE 302, WARRENTON, VA 20186(540) 341-1900(540) 341-0940 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Warrenton Dermatology & Skin Therapy Center NPPES

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

WARRENTON DERMATOLOGY & SKIN THERAPY CENTER (NPI 1396778205) is a healthcare organization registered as a dermatology in Warrenton, Virginia and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Juan-carlos Caballero, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1396778205
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWARRENTON DERMATOLOGY PC
Location Address28 BLACKWELL PARK LN, SUITE 302Warrenton, VA 20186-2685
Mailing Address28 Blackwell Park Ln, Suite 302Warrenton, VA 20186-2685 · (540) 341-1900 · Fax (540) 341-0940
Fax(540) 341-0940
Organization SubpartNo
Authorized OfficialJuan-carlos CaballeroOwner/authorized Official · (540) 341-1900
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 15, 2010
NPI 1396778205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedSpecialistTaxonomy 174400000X · License 0101051160 (VA)
28 BLACKWELL PARK LN, Warrenton, VA 20186

Other Names 1

Doing Business AsWarrenton Dermatology & Skin Therapy Center

Other Identifiers 1

Medicare PINC06415VA

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

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 49D0915818

Warrenton Dermatology PC · Warrenton, VA
Active · expires Mar 8, 2027
CLIA Number49D0915818
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorJuan Carlos Caballero, MD
Laboratory Phone(540) 341-1900
Laboratory LocationWarrenton Dermatology PC28 Blackwell Park Lane Suite 302, Warrenton, VA 20186
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 49D2245294

Warrenton Dermatology & Skin Therapy Center · Warrenton, VA
Active · expires Nov 8, 2026
CLIA Number49D2245294
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorJuan C. Caballero
Laboratory Phone(540) 341-1900
Laboratory LocationWarrenton Dermatology & Skin Therapy Center28 Blackwell Park Lane Suite 102, Warrenton, VA 20186
CLIA data matches this NPI record on: Address Name Phone
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 4

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

Physician Assistant (Surgical)
28 BLACKWELL PARK LN, SUITE 302
WARRENTON, VA 20186
Physician Assistant
28 BLACKWELL PARK LN
WARRENTON, VA 20186
Dermatology
28 BLACKWELL PARK LN, SUITE 302
WARRENTON, VA 20186
Pediatrics
28 BLACKWELL PARK LN, SUITE 103
WARRENTON, VA 20186

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 Warrenton Dermatology PC's NPI number?

The NPI number for Warrenton Dermatology PC is 1396778205. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Warrenton Dermatology & Skin Therapy Center.

Where is Warrenton Dermatology PC located?

Warrenton Dermatology PC is located at 28 Blackwell Park Ln Suite 302, Warrenton, VA 20186. The listed phone number is (540) 341-1900.

What is Warrenton Dermatology PC's specialty?

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

Does Warrenton Dermatology PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Warrenton Dermatology PC was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.