DERMATOLOGY TREATMENT CENTER OF THE SOUTH BAY
NPI 1740663160
Dermatology in Torrance, CA

Active since July 02, 2015CLIA 05D0966628 · Microscopy
3445 PACIFIC COAST HWY, 220, TORRANCE, CA 90505(310) 534-9100(310) 534-9112 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology Treatment Center Of The South Bay NPPES

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

DERMATOLOGY TREATMENT CENTER OF THE SOUTH BAY (NPI 1740663160) is a healthcare organization registered as a dermatology in Torrance, California and active in the NPI registry since July 2015. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Cassandra Starks, Manager, as its authorized official.

NPPES Registry Identity

NPI1740663160
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVERNON R. WILSON, MD A PROFESSIONAL MEDICAL CORPORATION
Location Address3445 PACIFIC COAST HWY, 220Torrance, CA 90505-6658
Mailing Address3445 Pacific Coast Hwy, 220Torrance, CA 90505-6658 · (310) 534-9100 · Fax (310) 534-9112
Fax(310) 534-9112
Organization SubpartNo
Authorized OfficialCassandra StarksManager · (310) 534-9100
Enumeration DateJuly 2, 2015
Last NPPES UpdateSeptember 15, 2015
NPI 1740663160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G62857
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.
3445 PACIFIC COAST HWY, Torrance, CA 90505

Other Names 1

Doing Business AsDermatology Treatment Center Of The South Bay

Other Identifiers 1

Medicare UPINF16323CA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0966628

Dermatology Treatment Center Of The South Bay · Torrance, CA
Active · expires Aug 31, 2026
CLIA Number05D0966628
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorVernon R. Wilson, MD
Laboratory Phone(310) 534-9100
Laboratory LocationDermatology Treatment Center Of The South Bay3445 Pacific Coast Hwy Ste 220, Torrance, CA 90505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

Ophthalmology
3445 PACIFIC COAST HWY
TORRANCE, CA 90505
Chiropractor (Orthopedic)
3445 PACIFIC COAST HWY, SUITE 300
TORRANCE, CA 90505
Clinic/Center (Ambulatory Surgical)
3445 PACIFIC COAST HWY, SUITE 250
TORRANCE, CA 90505
Dermatology
3445 PACIFIC COAST HWY, SUITE 220
TORRANCE, CA 90505
Physician Assistant (Medical)
3445 PACIFIC COAST HWY, #200
TORRANCE, CA 90505
Physical Therapist
3445 PACIFIC COAST HWY
TORRANCE, CA 90505
Clinic/Center (Ambulatory Surgical)
3445 PACIFIC COAST HWY, SUITE 250
TORRANCE, CA 90505
Anesthesiology
3445 PACIFIC COAST HWY, STE 110
TORRANCE, CA 90505

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 Vernon R. Wilson, MD A Professional Medical Corporation's NPI number?

The NPI number for Vernon R. Wilson, MD A Professional Medical Corporation is 1740663160. It was assigned to this organization in the NPPES registry on July 2, 2015. The provider is doing business as Dermatology Treatment Center Of The South Bay.

Where is Vernon R. Wilson, MD A Professional Medical Corporation located?

Vernon R. Wilson, MD A Professional Medical Corporation is located at 3445 Pacific Coast Hwy 220, Torrance, CA 90505. The listed phone number is (310) 534-9100.

What is Vernon R. Wilson, MD A Professional Medical Corporation's specialty?

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

Does Vernon R. Wilson, MD A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0966628) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vernon R. Wilson, MD A Professional Medical Corporation was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.