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PACIFICA CENTER FOR DERMATOLOGY
NPI 1497392492
Dermatology in Camarillo, CA

Active since December 09, 2019
2460 N PONDEROSA DR STE A117, CAMARILLO, CA 93010(805) 430-0002 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacifica Center For Dermatology NPPES

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

PACIFICA CENTER FOR DERMATOLOGY (NPI 1497392492) is a healthcare organization registered as a dermatology in Camarillo, California and active in the NPI registry since December 2019. The organization maintains 2 additional practice locations and lists Nicole Fifer, D, as its authorized official.

NPPES Registry Identity

NPI1497392492
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePACIFICA DERMATOLOGY
Location Address2460 N PONDEROSA DR STE A117Camarillo, CA 93010-2468
Mailing Address2460 N Ponderosa Dr Ste A117Camarillo, CA 93010-2468 · (805) 430-0002 · Fax (805) 389-1245
Phone(805) 430-0002
Organization SubpartNo
Authorized OfficialNicole FiferD · (805) 484-2855
Enumeration DateDecember 9, 2019
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1497392492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
2460 N PONDEROSA DR STE A117, Camarillo, CA 93010
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Other Names 1

Doing Business AsPacifica Center For Dermatology

Secondary Practice Locations 2

Location 11722 State St Ste 102Santa Barbara, CA 93101-2526 · Phone (805) 898-0700 · Fax (805) 389-1245
Location 212050 Ventura Blvd Ste B106Studio City, CA 91604-2639 · Phone (818) 763-0220 · Fax (805) 389-1245

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 05D2220598

Pacifica Center For Dermatology · Camarillo, CA
Expired · Jul 31, 2026
CLIA Number05D2220598
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorRahil Dharia
Laboratory Phone(805) 430-0002
Laboratory LocationPacifica Center For Dermatology2460 N Ponderosa Dr, Ste A117, Camarillo, CA 93010
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARISSA LARSEN DERMATOLOGY INC
Dermatology
2460 N PONDEROSA DR STE A117
CAMARILLO, CA 93010
Ventura County (805) 430-0002
DAVID SISCO MD PC
Anesthesiology
2460 N PONDEROSA DR STE A117
CAMARILLO, CA 93010
Ventura County (805) 491-9353
DANIEL GENE KOLDER MD
Surgery
2460 N PONDEROSA DR STE A117
CAMARILLO, CA 93010
Ventura County (805) 484-2855

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 Pacifica Dermatology's NPI number?

The NPI number for Pacifica Dermatology is 1497392492. It was assigned to this organization in the NPPES registry on December 9, 2019. The provider is doing business as Pacifica Center For Dermatology.

Where is Pacifica Dermatology located?

Pacifica Dermatology is located at 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010. The listed phone number is (805) 430-0002.

What is Pacifica Dermatology's specialty?

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

When was this NPI record last updated?

The NPPES record for Pacifica Dermatology was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.