ROSEVILLE DERMATOLOGY INC.
NPI 1508803263
Dermatology in Roseville, CA

Active since June 01, 2006
1211 PLEASANT GROVE BLVD, SUITE 100, ROSEVILLE, CA 95678(916) 784-7546(916) 784-7548 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roseville Dermatology Inc. NPPES

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

ROSEVILLE DERMATOLOGY INC. (NPI 1508803263) is a healthcare organization registered as a dermatology in Roseville, California and active in the NPI registry since June 2006. The organization lists Christopher H Ha, President, as its authorized official.

NPPES Registry Identity

NPI1508803263
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROSEVILLE DERMATOLOGY INC.
Location Address1211 PLEASANT GROVE BLVD, SUITE 100Roseville, CA 95678-6971
Mailing Address1211 Pleasant Grove Blvd, Suite 100Roseville, CA 95678-6971 · (916) 784-7546 · Fax (916) 784-7548
Fax(916) 784-7548
Organization SubpartNo
Authorized OfficialChristopher H HaPresident · (916) 784-7546
Enumeration DateJune 1, 2006
Last NPPES UpdateNovember 9, 2007
✔ NPI 1508803263 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.
1211 PLEASANT GROVE BLVD, Roseville, CA 95678

Other Identifiers 3

Medicare UPINH26887CA
Other00A604281CA · Blue Cross Pin
Other1898591CA · Cigna Pin

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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Roseville Dermatology Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1194764738
1412 BLUE OAKS BLVD
Roseville, CA 95747
(916) 784-7546
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1821474230
1412 BLUE OAKS BLVD
Roseville, CA 95747
(916) 784-7546
✔ PECOS✔ Accepts Medicare1.9 mi
Dermatology
NPI 1407293665
1412 BLUE OAKS BLVD
Roseville, CA 95747
(916) 784-7546
✔ PECOS✔ Accepts Medicare1.9 mi

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 Roseville Dermatology Inc.'s NPI number?

The NPI number for Roseville Dermatology Inc. is 1508803263. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Roseville Dermatology Inc. located?

Roseville Dermatology Inc. is located at 1211 Pleasant Grove Blvd Suite 100, Roseville, CA 95678. The listed phone number is (916) 784-7546.

What is Roseville Dermatology Inc.'s specialty?

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

Is Roseville Dermatology Inc. enrolled in Medicare?

Yes. Roseville Dermatology Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roseville Dermatology Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Roseville Dermatology Inc., in Dermatology 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.

When was this NPI record last updated?

The NPPES record for Roseville Dermatology Inc. was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.