SAND DERMATOLOGY PC
NPI 1558918441
Dermatology in Chino Hills, CA

Active since August 25, 2019CLIA 05D2298830 · Certificate of Compliance
3110 CHINO AVE STE 120, CHINO HILLS, CA 91709(562) 659-4492(408) 628-0747 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2026, Dec 2, 2019, Aug 25, 2019 (3 updates tracked since 2019).

About Sand Dermatology Pc NPPES

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

SAND DERMATOLOGY PC (NPI 1558918441), doing business as Sand Dermatology, is a healthcare organization registered as a dermatology in Chino Hills, California and active in the NPI registry since August 2019. The organization holds a CLIA Certificate of Compliance certificate valid through April 20, 2028, maintains 2 additional practice locations, and lists Amandeep Sandhu, Md, as its authorized official.

NPPES Registry Identity

NPI1558918441
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSAND DERMATOLOGY PC
Location Address3110 CHINO AVE STE 120Chino Hills, CA 91709-1294
Mailing Address3110 Chino Ave Ste 120Chino Hills, CA 91709-1294 · (909) 313-5111 · Fax (909) 313-0959
Fax(408) 628-0747
Organization SubpartNo
Authorized OfficialAmandeep SandhuMd · (562) 659-4492
Enumeration DateAugust 25, 2019
Last NPPES UpdateMay 9, 20263 updates tracked since enumeration
NPPES CertifiedMay 9, 2026
✔ NPI 1558918441 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.
3110 CHINO AVE STE 120, Chino Hills, CA 91709

Other Names 1

Doing Business AsSand Dermatology

Secondary Practice Locations 2

Location 11122 E Lincoln Ave # 120Orange, CA 92865-1907 · Phone (714) 987-9880 · Fax (714) 709-8998
Location 29220 Haven Ave Ste 120Rancho Cucamonga, CA 91730-8551 · Phone (909) 819-0930 · Fax (909) 819-1830

Other Identifiers 1

Other1003158544CA · Dermatology

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)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Sand Dermatology PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1952005498
3110 CHINO AVE STE 120
Chino Hills, CA 91709
(909) 313-5111
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1255421335
3110 CHINO AVE STE 120
Chino Hills, CA 91709
(909) 313-5111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235897281
585 N MOUNTAIN AVE STE A
Upland, CA 91786
(909) 500-4574
✔ PECOS✔ Accepts Medicare7.4 mi
Dermatology
NPI 1003158544
1122 E LINCOLN AVE STE 105
Orange, CA 92865
(714) 987-9880
✔ PECOS✔ Accepts Medicare13 mi
Dermatology
NPI 1407275217
1165 N EUCLID ST
Anaheim, CA 92801
(714) 991-9990
✔ PECOS✔ Accepts Medicare16 mi
Dermatology
NPI 1316478498
12462 PUTNAM ST STE 501
Whittier, CA 90602
(562) 789-5429
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1871102590
71777 SAN JACINTO DR STE 202
Rancho Mirage, CA 92270
(888) 743-7526
✔ PECOS✔ Accepts Medicare78 mi
Dermatology
NPI 1538217476
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ PECOS✔ Accepts Medicare92 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 2

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 05D2298830

Sand Dermatology · Orange, CA
Active · expires Apr 20, 2028
CLIA Number05D2298830
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorAmandeep Sandhu
Laboratory Phone(714) 987-9880
Laboratory LocationSand Dermatology1122 E Lincoln Ave Ste 105, Orange, CA 92865
CLIA data matches this NPI record on: 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.

Certificate of Compliance 05D2187759

Sand Dermatology · Chino Hills, CA
Expired · Sep 30, 2026
CLIA Number05D2187759
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorAmandeep Sandhu
Laboratory Phone(909) 313-5111
Laboratory LocationSand Dermatology3110 Chino Ave, Ste 120, Chino Hills, CA 91709
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 Sand Dermatology PC's NPI number?

The NPI number for Sand Dermatology PC is 1558918441. It was assigned to this organization in the NPPES registry on August 25, 2019. The provider is doing business as Sand Dermatology.

Where is Sand Dermatology PC located?

Sand Dermatology PC is located at 3110 Chino Ave Ste 120, Chino Hills, CA 91709. The listed phone number is (562) 659-4492.

What is Sand Dermatology PC's specialty?

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

Is Sand Dermatology PC enrolled in Medicare?

Yes. Sand Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sand Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Sand Dermatology PC. 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 (5) and Nurse Practitioner (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sand Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2298830) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sand Dermatology PC was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.