COMPREHENSIVE DERMATOLOGY CENTER OF PASADENA, A MEDICAL GROUP
NPI 1740485010
Clinic/Center - Medical Specialty in Pasadena, CA
About Comprehensive Dermatology Center Of Pasadena, A Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMPREHENSIVE DERMATOLOGY CENTER OF PASADENA, A MEDICAL GROUP (NPI 1740485010) is a healthcare organization registered as a medical specialty in Pasadena, California and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 13, 2027 and lists Han N. Lee, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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)
Comprehensive Dermatology Center Of Pasadena, A Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Comprehensive Dermatology Center Of Pasadena, A Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Los Angeles, CA 90089
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 05D2024886
Comprehensive Dermatology Center Of Pasadena A Medical Group · Pasadena, CAFrequently 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 Comprehensive Dermatology Center Of Pasadena, A Medical Group's NPI number?
The NPI number for Comprehensive Dermatology Center Of Pasadena, A Medical Group is 1740485010. It was assigned to this organization in the NPPES registry on June 18, 2007.
Where is Comprehensive Dermatology Center Of Pasadena, A Medical Group located?
Comprehensive Dermatology Center Of Pasadena, A Medical Group is located at 625 S Fair Oaks Ave Suite 200, Pasadena, CA 91105. The listed phone number is (626) 793-7790.
What is Comprehensive Dermatology Center Of Pasadena, A Medical Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Comprehensive Dermatology Center Of Pasadena, A Medical Group enrolled in Medicare?
Yes. Comprehensive Dermatology Center Of Pasadena, A Medical Group is registered in the Medicare PECOS enrollment system.
When is Comprehensive Dermatology Center Of Pasadena, A Medical Group'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 December 31, 2026. 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 Comprehensive Dermatology Center Of Pasadena, A Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Comprehensive Dermatology Center Of Pasadena, A Medical Group. 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. Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Comprehensive Dermatology Center Of Pasadena, A Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D2024886) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Comprehensive Dermatology Center Of Pasadena, A Medical Group accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 35 other insurers list Comprehensive Dermatology Center Of Pasadena, A Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Comprehensive Dermatology Center Of Pasadena, A Medical Group was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Comprehensive Dermatology Center Of Pasadena, A Medical Group · NPI 1740485010
Medical Specialty organization in Pasadena, California. Organization record, active in the CMS NPPES registry since June 18, 2007.
## Identity
- **NPI:** 1740485010 (Entity type: Organization)
- **Enumerated:** June 18, 2007
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** Yes (part of Comprehensive Dermatology Center Of Pasadena, A Medical Group)
- **Authorized official:** Han Lee, DIRECTOR
## Practice location
- **Address:** 625 S FAIR OAKS AVE, SUITE 200, Pasadena, CA 91105-2613
- **Phone:** (626) 793-7790 · **Fax:** (626) 793-9018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740485010) · Data from the CMS NPPES public registry.