SOUTHERN MARIN DERMATOLOGY, INC.
NPI 1487090924
Dermatology in Sausalito, CA
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
Specialties & Licenses
Group Practice 1
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
7Medicare 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)
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, 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 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.