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PACIFIC DERMATOLOGY INC
NPI 1407609779
Dermatology in Pleasanton, CA

Active since April 08, 2024CLIA 05D0944035 · Certificate of Compliance
5924 STONERIDGE DR STE 101, PLEASANTON, CA 94588(925) 426-8828(925) 426-8812 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Dermatology Inc NPPES

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

PACIFIC DERMATOLOGY INC (NPI 1407609779) is a healthcare organization registered as a dermatology in Pleasanton, California and active in the NPI registry since April 2024. The organization holds a CLIA Certificate of Compliance certificate valid through November 17, 2026 and lists Hank Kwong Fung, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1407609779
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePACIFIC DERMATOLOGY INC
Location Address5924 STONERIDGE DR STE 101Pleasanton, CA 94588-2750
Mailing Address5924 Stoneridge Dr Ste 101Pleasanton, CA 94588-2750 · (925) 426-8828 · Fax (925) 426-8812
Phone(925) 426-8828
Fax(925) 426-8812
Organization SubpartNo
Authorized OfficialHank Kwong FungMd/owner · (925) 426-8828
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1407609779 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.
5924 STONERIDGE DR STE 101, Pleasanton, CA 94588
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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

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 05D0944035

Pacific Dermatology · Pleasanton, CA
Active · expires Nov 17, 2026
CLIA Number05D0944035
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorHank K. Fung MD
Laboratory Phone(925) 426-8828
Laboratory LocationPacific Dermatology5924 Stoneridge Dr, Ste 101, Pleasanton, CA 94588
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.

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 Pacific Dermatology Inc's NPI number?

The NPI number for Pacific Dermatology Inc is 1407609779. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Pacific Dermatology Inc located?

Pacific Dermatology Inc is located at 5924 Stoneridge Dr Ste 101, Pleasanton, CA 94588. The listed phone number is (925) 426-8828.

What is Pacific Dermatology Inc's specialty?

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

Does Pacific Dermatology Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0944035) is associated with this NPI, valid through November 17, 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 Pacific Dermatology Inc was last updated on April 8, 2024. 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.