PACIFIC COAST DERMATOLOGY, INC.
NPI 1750574075
Dermatology in Chino, CA
About Pacific Coast Dermatology, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC COAST DERMATOLOGY, INC. (NPI 1750574075) is a healthcare organization registered as a dermatology in Chino, California and active in the NPI registry since August 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 16, 2027 and lists Tuan Anthony Hoang-xuan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Coast Dermatology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Coast Dermatology, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D2019838
Pacific Coast Dermatology Inc · Chino, 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 Pacific Coast Dermatology, Inc.'s NPI number?
The NPI number for Pacific Coast Dermatology, Inc. is 1750574075. It was assigned to this organization in the NPPES registry on August 20, 2007.
Where is Pacific Coast Dermatology, Inc. located?
Pacific Coast Dermatology, Inc. is located at 13768 Roswell Ave Suite 102, Chino, CA 91710. The listed phone number is (909) 364-1959.
What is Pacific Coast Dermatology, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Pacific Coast Dermatology, Inc. enrolled in Medicare?
Yes. Pacific Coast Dermatology, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Coast Dermatology, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Pacific Coast Dermatology, Inc.. 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 Pacific Coast Dermatology, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D2019838) is associated with this NPI, valid through August 16, 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 Pacific Coast Dermatology, Inc. was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.