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SKINCREDIBLE SKIN & CANCER CENTER
NPI 1649016320
Dermatology in Monterey, CA

Active since July 02, 2024CLIA 05D2339905 · Certificate of Compliance
70 GARDEN CT STE 101, MONTEREY, CA 93940(949) 545-6605(949) 326-7509 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Skincredible Skin & Cancer Center NPPES

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

SKINCREDIBLE SKIN & CANCER CENTER (NPI 1649016320) is a healthcare organization registered as a dermatology in Monterey, California and active in the NPI registry since July 2024. The organization holds a CLIA Certificate of Compliance certificate valid through March 8, 2028 and lists Alan Valdes, Exec, as its authorized official.

NPPES Registry Identity

NPI1649016320
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAG MEDICAL GROUP PC
Location Address70 GARDEN CT STE 101Monterey, CA 93940-5342
Mailing Address27800 Medical Center Rd Ste 220Mission Viejo, CA 92691-6408 · (949) 545-6605 · Fax (949) 326-7509
Phone(949) 545-6605
Fax(949) 326-7509
Organization SubpartNo
Authorized OfficialAlan ValdesExec · (949) 234-6751
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1649016320 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.
70 GARDEN CT STE 101, Monterey, CA 93940
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Other Names 1

Doing Business AsSkincredible Skin & Cancer Center

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skincredible Skin & Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Skincredible Skin & Cancer Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

David Greene, M.D.
Radiation Oncology
NPI 1285600403
610 E ROMIE LN
Salinas, CA 93901
(858) 603-0172
✔ PECOS✔ Accepts Medicare13 mi
Farah Awadalla, MD
Dermatology
NPI 1669608790
27800 MEDICAL CENTER RD STE 220
Mission Viejo, CA 92691
(949) 545-6605
✔ PECOS✔ Accepts Medicare316 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

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 05D2339905

Skincredible Skin & Cancer Center · Monterey, CA
Active · expires Mar 8, 2028
CLIA Number05D2339905
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorFarah C. Awadalla
Laboratory Phone(949) 545-6605
Laboratory LocationSkincredible Skin & Cancer Center70 Garden Ct Ste 101, Monterey, CA 93940
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 Ag Medical Group PC's NPI number?

The NPI number for Ag Medical Group PC is 1649016320. It was assigned to this organization in the NPPES registry on July 2, 2024. The provider is doing business as Skincredible Skin & Cancer Center.

Where is Ag Medical Group PC located?

Ag Medical Group PC is located at 70 Garden Ct Ste 101, Monterey, CA 93940. The listed phone number is (949) 545-6605.

What is Ag Medical Group PC's specialty?

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

Is Ag Medical Group PC enrolled in Medicare?

Yes. Ag Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ag Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ag Medical Group PC, in Dermatology and Radiation Oncology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ag Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2339905) is associated with this NPI, valid through March 8, 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 Ag Medical Group PC was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.