SOUTHERN MARIN DERMATOLOGY, INC.
NPI 1487090924
Dermatology in Sausalito, CA

Active since May 10, 2013
2330 MARINSHIP WAY, SUITE 370, SAUSALITO, CA 94965(415) 887-9758(415) 887-9763 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Marin Dermatology, Inc. NPPES

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

SOUTHERN MARIN DERMATOLOGY, INC. (NPI 1487090924) is a healthcare organization registered as a dermatology in Sausalito, California and active in the NPI registry since May 2013. The organization lists Ashley A Smith, President, as its authorized official.

NPPES Registry Identity

NPI1487090924
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHERN MARIN DERMATOLOGY, INC.
Location Address2330 MARINSHIP WAY, SUITE 370Sausalito, CA 94965-2853
Mailing Address2330 Marinship Way, Suite 370Sausalito, CA 94965-2853 · (415) 887-9758 · Fax (415) 887-9763
Fax(415) 887-9763
Organization SubpartNo
Authorized OfficialAshley A SmithPresident · (415) 887-9758
Enumeration DateMay 10, 2013
✔ NPI 1487090924 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.
2330 MARINSHIP WAY, Sausalito, CA 94965

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)

Southern Marin Dermatology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern Marin Dermatology, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Dermatology
NPI 1275567323
2330 MARINSHIP WAY STE 370
Sausalito, CA 94965
(415) 887-9758
✔ PECOSSame address
Dermatology
NPI 1720114432
2330 MARINSHIP WAY STE 370
Sausalito, CA 94965
(415) 887-9758
✔ PECOSSame address
Dermatology
NPI 1053579979
2330 MARINSHIP WAY SUITE 370
Sausalito, CA 94965
(415) 887-9758
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1780676908
2330 MARINSHIP WAY STE 370
Sausalito, CA 94965
(415) 887-9758
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871904326
2100 WEBSTER ST SUITE 505
San Francisco, CA 94115
(415) 923-3377
✔ PECOS6.3 mi
Dermatology
NPI 1255463725
1750 EL CAMINO REAL STE 206
Burlingame, CA 94010
(650) 692-0182
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1972861102
10000 SAGEMORE DR STE 10103
Marlton, NJ 08053
(856) 596-3040
✔ PECOS✔ Accepts Medicare2,539 mi

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 05D2075709

Southern Marin Dermatology Inc · Sausalito, CA
Expired · Oct 19, 2026
CLIA Number05D2075709
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorAshley A. Smith
Laboratory Phone(415) 887-9758
Laboratory LocationSouthern Marin Dermatology Inc2330 Marinship Way, Ste 370, Sausalito, CA 94965
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.

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 Southern Marin Dermatology, Inc.'s NPI number?

The NPI number for Southern Marin Dermatology, Inc. is 1487090924. It was assigned to this organization in the NPPES registry on May 10, 2013.

Where is Southern Marin Dermatology, Inc. located?

Southern Marin Dermatology, Inc. is located at 2330 Marinship Way Suite 370, Sausalito, CA 94965. The listed phone number is (415) 887-9758.

What is Southern Marin Dermatology, Inc.'s specialty?

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

Is Southern Marin Dermatology, Inc. enrolled in Medicare?

Yes. Southern Marin Dermatology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Marin Dermatology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Marin 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. The largest specialties are Dermatology (6) and Nurse Practitioner (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Marin Dermatology, Inc. was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.