COASTAL PACIFIC DERMATOLOGY INC.
NPI 1639865397
Dermatology in Encinitas, CA

Active since April 14, 2023CLIA 05D2281428 · Certificate of Compliance
345 SAXONY RD STE 201, ENCINITAS, CA 92024(619) 630-0367 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Pacific Dermatology Inc. NPPES

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

COASTAL PACIFIC DERMATOLOGY INC. (NPI 1639865397) is a healthcare organization registered as a dermatology in Encinitas, California and active in the NPI registry since April 2023. The organization holds a CLIA Certificate of Compliance certificate valid through April 8, 2027 and lists Sheila Meena Krishna, President, as its authorized official.

NPPES Registry Identity

NPI1639865397
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOASTAL PACIFIC DERMATOLOGY INC.
Location Address345 SAXONY RD STE 201Encinitas, CA 92024-2787
Mailing Address13604 Boquita DrDel Mar, CA 92014-3408 · (562) 712-0775
Organization SubpartNo
Authorized OfficialSheila Meena KrishnaPresident · (562) 712-0775
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
NPI 1639865397 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.
345 SAXONY RD STE 201, Encinitas, CA 92024

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 05D2281428

Coastal Pacific Dermatology Inc · Encinitas, CA
Active · expires Apr 8, 2027
CLIA Number05D2281428
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorSheila M. Krishna
Laboratory Phone(760) 783-5502
Laboratory LocationCoastal Pacific Dermatology Inc345 Saxony Rd, Ste 201, Encinitas, CA 92024
CLIA data matches this NPI record on: Address Name
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
345 SAXONY RD STE 201
ENCINITAS, CA 92024

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 Coastal Pacific Dermatology Inc.'s NPI number?

The NPI number for Coastal Pacific Dermatology Inc. is 1639865397. It was assigned to this organization in the NPPES registry on April 14, 2023.

Where is Coastal Pacific Dermatology Inc. located?

Coastal Pacific Dermatology Inc. is located at 345 Saxony Rd Ste 201, Encinitas, CA 92024. The listed phone number is (619) 630-0367.

What is Coastal Pacific Dermatology Inc.'s specialty?

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

Does Coastal Pacific Dermatology Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2281428) is associated with this NPI, valid through April 8, 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 Coastal Pacific Dermatology Inc. was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.