LOS ALTOS DERMATOLOGY, INC
NPI 1457493033
Dermatology in Los Altos, CA

Active since February 12, 2007
851 FREMONT AVE, SUITE 112, LOS ALTOS, CA 94024(650) 949-2771(650) 949-2388 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Los Altos Dermatology, Inc NPPES

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

LOS ALTOS DERMATOLOGY, INC (NPI 1457493033) is a healthcare organization registered as a dermatology in Los Altos, California and active in the NPI registry since February 2007. The organization lists Siavosh Vossough, Ceo Owner, as its authorized official.

NPPES Registry Identity

NPI1457493033
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLOS ALTOS DERMATOLOGY, INC
Location Address851 FREMONT AVE, SUITE 112Los Altos, CA 94024-5698
Mailing Address851 Fremont Ave, Suite 112Los Altos, CA 94024-5698 · (650) 949-2771 · Fax (650) 949-2388
Fax(650) 949-2388
Organization SubpartNo
Authorized OfficialSiavosh VossoughCeo Owner · (650) 949-2771
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457493033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A61091
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.
851 FREMONT AVE, Los Altos, CA 94024

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Los Altos Dermatology, 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 Los Altos Dermatology, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1922192111
851 FREMONT AVE SUITE 112
Los Altos, CA 94024
(650) 949-2771
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Los Altos Dermatology, Inc's NPI number?

The NPI number for Los Altos Dermatology, Inc is 1457493033. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Los Altos Dermatology, Inc located?

Los Altos Dermatology, Inc is located at 851 Fremont Ave Suite 112, Los Altos, CA 94024. The listed phone number is (650) 949-2771.

What is Los Altos Dermatology, Inc's specialty?

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

Is Los Altos Dermatology, Inc enrolled in Medicare?

Yes. Los Altos Dermatology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Los Altos Dermatology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Los Altos Dermatology, 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 Los Altos Dermatology, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.