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DERMATOLOGY SPECIALISTS INC
NPI 1578763876
Dermatology in San Marcos, CA

Active since July 24, 2007CLIA 05D0566835 · Microscopy
838 NORDAHL RD, #250, SAN MARCOS, CA 92069(760) 738-7600(760) 738-7616 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology Specialists Inc NPPES

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

DERMATOLOGY SPECIALISTS INC (NPI 1578763876) is a healthcare organization registered as a dermatology in San Marcos, California and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Jane Lisk, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578763876
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS INC
Location Address838 NORDAHL RD, #250San Marcos, CA 92069-3595
Mailing Address3629 Vista WayOceanside, CA 92056-4522 · (760) 828-9200 · Fax (760) 828-9141
Phone(760) 738-7600
Fax(760) 738-7616
Organization SubpartNo
Authorized OfficialJane LiskAdministrator · (760) 757-7546
Enumeration DateJuly 24, 2007
Last NPPES UpdateDecember 29, 2016
✔ NPI 1578763876 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.
838 NORDAHL RD, San Marcos, CA 92069
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Other Identifiers 3

Other1881631711CA · Group Npi
Medicare PINW512ACA
MedicaidGR0029461CA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0566835

Dermatology Specialists Inc · San Marcos, CA
Active · expires Aug 31, 2026
CLIA Number05D0566835
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorArun Venkat MD
Laboratory Phone(760) 738-7600
Laboratory LocationDermatology Specialists Inc838 Nordahl Rd, Ste 250, San Marcos, CA 92069
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. RAUL ENRIQUE ESCALANTE D.D.S.,M.S.
Dentist (General Practice)
838 NORDAHL RD, SUITE 260
SAN MARCOS, CA 92069
San Diego County (760) 743-1161
RASHEDI DMD PC
Clinic/Center (Ambulatory Surgical)
838 NORDAHL RD, SUITE 125
SAN MARCOS, CA 92069
San Diego County (760) 294-7041
MARJAN RASHEDI DMD INC
Dentist (Pediatric Dentistry)
838 NORDAHL RD, SUITE 145
SAN MARCOS, CA 92069
San Diego County (619) 651-5470

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 Dermatology Specialists Inc's NPI number?

The NPI number for Dermatology Specialists Inc is 1578763876. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Dermatology Specialists Inc located?

Dermatology Specialists Inc is located at 838 Nordahl Rd #250, San Marcos, CA 92069. The listed phone number is (760) 738-7600.

What is Dermatology Specialists Inc's specialty?

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

Does Dermatology Specialists Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0566835) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists Inc was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.