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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EAST BAY DERMATOLOGY MEDICAL GROUP INC
NPI 1447220215
Dermatology in Fremont, CA

Active since January 25, 2006CLIA 05D0598729 · Certificate of Compliance
2557 MOWRY AVE STE 25, FREMONT, CA 94538(510) 797-4111(510) 797-3320 Get Directions Write a Review

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

Record update history: Jul 15, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About East Bay Dermatology Medical Group Inc NPPES

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

EAST BAY DERMATOLOGY MEDICAL GROUP INC (NPI 1447220215), doing business as Center For Dermatology Cosmetic & Laser Surgery, is a healthcare organization registered as a dermatology in Fremont, California and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 15, 2026 and lists Sunil S Dhawan, Owner, as its authorized official.

NPPES Registry Identity

NPI1447220215
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEAST BAY DERMATOLOGY MEDICAL GROUP INC
Location Address2557 MOWRY AVE STE 25Fremont, CA 94538-1614
Mailing Address2557 Mowry Ave Ste 25Fremont, CA 94538-1614 · (510) 797-4111 · Fax (510) 797-3320
Phone(510) 797-4111
Fax(510) 797-3320
Organization SubpartNo
Authorized OfficialSunil S DhawanOwner · (510) 797-4112
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1447220215 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.
2557 MOWRY AVE STE 25, Fremont, CA 94538
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Other Names 1

Doing Business AsCenter For Dermatology Cosmetic & Laser Surgery

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 05D0598729

East Bay Dermatology Medical Group, Inc · Fremont, CA
Active · expires Aug 15, 2026
CLIA Number05D0598729
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorShurong S. Chang
Laboratory Phone(510) 797-4111
Laboratory LocationEast Bay Dermatology Medical Group, Inc2557 Mowry Ave, Ste 25, Fremont, CA 94538
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

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

ANDREA MARIE CARO PA
Physician Assistant
2557 MOWRY AVE STE 25
FREMONT, CA 94538
Alameda County (510) 797-4111

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 East Bay Dermatology Medical Group Inc's NPI number?

The NPI number for East Bay Dermatology Medical Group Inc is 1447220215. It was assigned to this organization in the NPPES registry on January 25, 2006. The provider is doing business as Center for Dermatology Cosmetic & Laser Surgery.

Where is East Bay Dermatology Medical Group Inc located?

East Bay Dermatology Medical Group Inc is located at 2557 Mowry Ave Ste 25, Fremont, CA 94538. The listed phone number is (510) 797-4111.

What is East Bay Dermatology Medical Group Inc's specialty?

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

Does East Bay Dermatology Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0598729) is associated with this NPI, valid through August 15, 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 East Bay Dermatology Medical Group Inc was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.