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DERMATOLOGY & LASER CENTER OF SAN DIEGO
NPI 1457396178
Dermatology in Chula Vista, CA

Active since June 17, 2006CLIA 05D1007383 · Certificate of Compliance
344 F ST STE 200, CHULA VISTA, CA 91910(619) 476-1200(619) 420-7849 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology & Laser Center Of San Diego NPPES

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

DERMATOLOGY & LASER CENTER OF SAN DIEGO (NPI 1457396178) is a healthcare organization registered as a dermatology in Chula Vista, California and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 22, 2027 and lists Sara Rosales, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1457396178
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY & LASER CENTER OF SAN DIEGO
Location Address344 F ST STE 200Chula Vista, CA 91910-2646
Mailing Address344 F St Ste 200Chula Vista, CA 91910-2646 · (619) 476-1200 · Fax (619) 420-7849
Phone(619) 476-1200
Fax(619) 420-7849
Organization SubpartNo
Authorized OfficialSara RosalesInsurance Specialist · (619) 476-1200
Enumeration DateJune 17, 2006
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1457396178 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 A69750 (CA), A78399 (CA), C36597 (CA), A94658 (CA)
344 F ST STE 200, Chula Vista, CA 91910
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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

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 05D1007383

Dermatology And Laser Center Of San Diego · Chula Vista, CA
Active · expires Oct 22, 2027
CLIA Number05D1007383
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorMark A. Willoughby MD
Laboratory Phone(619) 476-1200
Laboratory LocationDermatology And Laser Center Of San Diego344 F St, Ste 200, Chula Vista, CA 91910
CLIA data matches this NPI record on: Address 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 Dermatology & Laser Center Of San Diego's NPI number?

The NPI number for Dermatology & Laser Center Of San Diego is 1457396178. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Dermatology & Laser Center Of San Diego located?

Dermatology & Laser Center Of San Diego is located at 344 F St Ste 200, Chula Vista, CA 91910. The listed phone number is (619) 476-1200.

What is Dermatology & Laser Center Of San Diego's specialty?

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

Does Dermatology & Laser Center Of San Diego hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1007383) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology & Laser Center Of San Diego was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.