FOLSOM DERMATOLOGY
NPI 1669731899
Dermatology in Folsom, CA

Active since May 08, 2012CLIA 05D2042365 · Certificate of Compliance
1745 CREEKSIDE DR, FOLSOM, CA 95630(916) 983-2302(916) 983-2382 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Folsom Dermatology NPPES

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

FOLSOM DERMATOLOGY (NPI 1669731899) is a healthcare organization registered as a dermatology in Folsom, California and active in the NPI registry since May 2012. The organization holds a CLIA Certificate of Compliance certificate valid through June 5, 2027 and lists Patricia A Satterfield, President, as its authorized official.

NPPES Registry Identity

NPI1669731899
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOLSOM DERMATOLOGY
Location Address1745 CREEKSIDE DRFolsom, CA 95630-3924
Mailing Address1745 Creekside DrFolsom, CA 95630-3924 · (916) 983-2302 · Fax (916) 983-2382
Fax(916) 983-2382
Organization SubpartNo
Authorized OfficialPatricia A SatterfieldPresident · (916) 983-2302
Enumeration DateMay 8, 2012
✔ NPI 1669731899 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.
1745 CREEKSIDE DR, Folsom, CA 95630

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120710000103Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Folsom Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Radiation Oncology6
Dermatology4

Clinicians, nearest first (10)

Dermatology
NPI 1881772531
1600 EUREKA RD
Roseville, CA 95661
(916) 784-4000
✔ PECOS✔ Accepts Medicare7.9 mi
Dermatology
NPI 1225116940
1600 EUREKA RD
Roseville, CA 95661
(916) 784-4000
✔ PECOS✔ Accepts Medicare8.0 mi
Dermatology
NPI 1811061195
10725 INTERNATIONAL DR
Rancho Cordova, CA 95670
(916) 631-3000
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1487732160
1020 29TH ST STE 570A
Sacramento, CA 95816
(916) 733-3792
✔ PECOS✔ Accepts Medicare19 mi
Radiation Oncology
NPI 1306194915
15400 NATIONAL AVE STE 100
Los Gatos, CA 95032
(408) 358-8400
✔ PECOS✔ Accepts Medicare108 mi
Radiation Oncology
NPI 1952307522
510 SW RAMSEY AVE
Grants Pass, OR 97527
(541) 472-7040
✔ PECOS✔ Accepts Medicare283 mi
Radiation Oncology
NPI 1740372861
260 E ONTARIO AVE STE 101
Corona, CA 92879
(949) 490-4820
✔ PECOS✔ Accepts Medicare387 mi
Radiation Oncology
NPI 1205831922
14662 NEWPORT AVE
Tustin, CA 92780
(714) 573-9500
✔ PECOS✔ Accepts Medicare388 mi
Radiation Oncology
NPI 1730266966
3620 N INTERSTATE AVE
Portland, OR 97227
(503) 813-2000
✔ PECOS✔ Accepts Medicare481 mi
Radiation Oncology
NPI 1932109337
10400 SOUTHWEST HWY LOWER LEVEL
Chicago Ridge, IL 60415
(708) 581-7308
✔ PECOS✔ Accepts Medicare1,766 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 05D2042365

Folsom Dermatology Inc · Folsom, CA
Active · expires Jun 5, 2027
CLIA Number05D2042365
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorPatricia A. Satterfield MD
Laboratory Phone(916) 983-2302
Laboratory LocationFolsom Dermatology Inc1745 Creekside Dr, Folsom, CA 95630
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 Folsom Dermatology's NPI number?

The NPI number for Folsom Dermatology is 1669731899. It was assigned to this organization in the NPPES registry on May 8, 2012.

Where is Folsom Dermatology located?

Folsom Dermatology is located at 1745 Creekside Dr, Folsom, CA 95630. The listed phone number is (916) 983-2302.

What is Folsom Dermatology's specialty?

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

Is Folsom Dermatology enrolled in Medicare?

Yes. Folsom Dermatology is registered in the Medicare PECOS enrollment system.

When is Folsom Dermatology's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Folsom Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Folsom Dermatology. 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 Radiation Oncology (6) and Dermatology (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Folsom Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2042365) is associated with this NPI, valid through June 5, 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 Folsom Dermatology was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.