LUMINOUS DERMATOLOGY
NPI 1609209576
Dermatology in Santa Barbara, CA

Active since August 15, 2013CLIA 05D0584671 · Certificate of Compliance
504 W PUEBLO ST STE 102, SANTA BARBARA, CA 93105(805) 682-3329 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, May 3, 2019 (2 updates tracked since 2019).

About Luminous Dermatology NPPES

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

LUMINOUS DERMATOLOGY (NPI 1609209576) is a healthcare organization registered as a dermatology in Santa Barbara, California and active in the NPI registry since August 2013. The organization holds a CLIA Certificate of Compliance certificate valid through October 7, 2027 and lists Bryan Gammon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609209576
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLUMINOUS DERMATOLOGY
Location Address504 W PUEBLO ST STE 102Santa Barbara, CA 93105-6211
Mailing Address504 W Pueblo St, Suite 202Santa Barbara, CA 93105-6211 · (805) 682-3329
Organization SubpartNo
Authorized OfficialBryan GammonCeo · (805) 682-6455
Enumeration DateAugust 15, 2013
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1609209576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A118101
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.
504 W PUEBLO ST STE 102, Santa Barbara, CA 93105

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

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 05D0584671

J Robert West, MD Inc Dba Luminous Dermatology · Santa Barbara, CA
Active · expires Oct 7, 2027
CLIA Number05D0584671
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDr. Gary S. Novatt
Laboratory Phone(805) 682-6455
Laboratory LocationJ Robert West, MD Inc Dba Luminous Dermatology504 W Pueblo St, Ste 102, Santa Barbara, CA 93105
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.

Physician Assistant
504 W PUEBLO ST STE 102
SANTA BARBARA, CA 93105
Dermatology
504 W PUEBLO ST STE 102
SANTA BARBARA, CA 93105
Dermatology
504 W PUEBLO ST STE 102
SANTA BARBARA, CA 93105

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 Luminous Dermatology's NPI number?

The NPI number for Luminous Dermatology is 1609209576. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Luminous Dermatology located?

Luminous Dermatology is located at 504 W Pueblo St Ste 102, Santa Barbara, CA 93105. The listed phone number is (805) 682-3329.

What is Luminous Dermatology's specialty?

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

Does Luminous Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0584671) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luminous Dermatology was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.