NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION
NPI 1548489602
Dermatology in Mckinleyville, CA
About North Pacific Dermatology A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION (NPI 1548489602) is a healthcare organization registered as a dermatology in Mckinleyville, California and active in the NPI registry since April 2007. The organization holds 3 active CLIA laboratory certificates and lists Justin Arnold, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Pacific Dermatology A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to North Pacific Dermatology A Medical Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 3
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 05D2308851
North Pacific Dermatology · Mckinleyville, CACertificate of Compliance 05D2330045
North Pacific Dermatology, A Medical Corporation Pathology · Arcata, CACertificate of Compliance 05D2311415
North Pacific Dermatology · Crescent City, 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 North Pacific Dermatology A Medical Corporation's NPI number?
The NPI number for North Pacific Dermatology A Medical Corporation is 1548489602. It was assigned to this organization in the NPPES registry on April 25, 2007.
Where is North Pacific Dermatology A Medical Corporation located?
North Pacific Dermatology A Medical Corporation is located at 3103 Concorde Dr, Mckinleyville, CA 95519. The listed phone number is (707) 822-3376.
What is North Pacific Dermatology A Medical Corporation's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is North Pacific Dermatology A Medical Corporation enrolled in Medicare?
Yes. North Pacific Dermatology A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Pacific Dermatology A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to North Pacific Dermatology A Medical Corporation, in Dermatology, Nurse Practitioner and Pathology. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does North Pacific Dermatology A Medical Corporation hold CLIA laboratory certificates?
Yes. 3 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.
What insurance does North Pacific Dermatology A Medical Corporation accept?
Health plans from Moda Health Plan, Inc. list North Pacific Dermatology A Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for North Pacific Dermatology A Medical Corporation was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# North Pacific Dermatology A Medical Corporation · NPI 1548489602
Dermatology organization in Mckinleyville, California. Organization record, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1548489602 (Entity type: Organization)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Justin Arnold, PRESIDENT
## Practice location
- **Address:** 3103 CONCORDE DR, Mckinleyville, CA 95519-9305
- **Phone:** (707) 822-3376 · **Fax:** (707) 822-5053
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Nurse Practitioner (1), Pathology (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2026
- **Other identifiers:** Other G77600 (CA)
- **CLIA laboratory certificates:** 3 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1548489602) · Data from the CMS NPPES public registry.