BRENTWOOD DERMATOLOGY MEDICAL GROUP INC
NPI 1427089911
Dermatology in Los Angeles, CA
About Brentwood Dermatology Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENTWOOD DERMATOLOGY MEDICAL GROUP INC (NPI 1427089911) is a healthcare organization registered as a dermatology in Los Angeles, California and active in the NPI registry since July 2006. The organization lists Jack H Silvers, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brentwood Dermatology Medical Group Inc 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 Brentwood Dermatology Medical Group Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Los Angeles, CA 90049
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 05D0997745
Brentwood Dermatology Medical Group · Los Angeles, 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 Brentwood Dermatology Medical Group Inc's NPI number?
The NPI number for Brentwood Dermatology Medical Group Inc is 1427089911. It was assigned to this organization in the NPPES registry on July 5, 2006.
Where is Brentwood Dermatology Medical Group Inc located?
Brentwood Dermatology Medical Group Inc is located at 11980 San Vicente Blvd Suite # 120, Los Angeles, CA 90049. The listed phone number is (310) 826-2051.
What is Brentwood Dermatology Medical Group Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Brentwood Dermatology Medical Group Inc enrolled in Medicare?
Yes. Brentwood Dermatology Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brentwood Dermatology Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Brentwood Dermatology Medical Group Inc. 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 Brentwood Dermatology Medical Group Inc was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.