CENTER FOR DERMATOLOGY COSMETIC AND LASER SURGERY
NPI 1467640284
Specialist in Milpitas, CA
About Center For Dermatology Cosmetic And Laser Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTER FOR DERMATOLOGY COSMETIC AND LASER SURGERY (NPI 1467640284) is a healthcare organization registered as a specialist in Milpitas, California and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Sunil S. Dhawan, Secretary Of The Corporation, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Center For Dermatology Cosmetic And Laser Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Center For Dermatology Cosmetic And Laser Surgery, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 2
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 for Provider-Performed Microscopy Procedures (PPMP) 05D2301604
Center For Dermatology Clinical Research · Fremont, CACertificate for Provider-Performed Microscopy Procedures (PPMP) 05D0866311
East Bay Dermatology Medical Group Inc · Milpitas, 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 East Bay Dermatology Medical Group Inc.'s NPI number?
The NPI number for East Bay Dermatology Medical Group Inc. is 1467640284. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is doing business as Center For Dermatology Cosmetic And Laser Surgery.
Where is East Bay Dermatology Medical Group Inc. located?
East Bay Dermatology Medical Group Inc. is located at 1158 Jacklin Rd, Milpitas, CA 95035. The listed phone number is (408) 957-7676.
What is East Bay Dermatology Medical Group Inc.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is East Bay Dermatology Medical Group Inc. enrolled in Medicare?
Yes. East Bay Dermatology Medical Group Inc. is registered in the Medicare PECOS enrollment system.
When is East Bay Dermatology Medical Group Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through East Bay Dermatology Medical Group Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to East Bay Dermatology Medical Group Inc., in Dermatology, Micrographic Dermatologic Surgery (MDS) and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Bay Dermatology Medical Group Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for East Bay Dermatology Medical Group Inc. was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Center For Dermatology Cosmetic And Laser Surgery · NPI 1467640284
Specialist organization in Milpitas, California. Organization record, active in the CMS NPPES registry since October 5, 2007.
## Identity
- **NPI:** 1467640284 (Entity type: Organization)
- **Enumerated:** October 5, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** East Bay Dermatology Medical Group Inc.
- **Organization subpart:** No
- **Authorized official:** Sunil Dhawan, SECRETARY OF THE CORPORATION
## Practice location
- **Address:** 1158 JACKLIN RD, Milpitas, CA 95035-3700
- **Phone:** (408) 957-7676 · **Fax:** (408) 942-1342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Micrographic Dermatologic Surgery (MDS) (2), Nurse Practitioner (2); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2007
- **Other identifiers:** Medicare UPIN E36247 (CA); Medicare PIN ZZZ22782Z (CA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467640284) · Data from the CMS NPPES public registry.