MIREMADI DERMATOLOGY MEDICAL CORPORATION
NPI 1760663116
Dermatology - Dermatopathology in La Jolla, CA
About Miremadi Dermatology Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIREMADI DERMATOLOGY MEDICAL CORPORATION (NPI 1760663116) is a healthcare organization registered as a dermatopathology in La Jolla, California and active in the NPI registry since November 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 6, 2027 and lists Arjang K Miremadi, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 2
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)
Miremadi Dermatology Medical Corporation 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 Miremadi Dermatology Medical Corporation, 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 05D0684137
Miremadi Dermatology Med Corp · La Jolla, 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 Miremadi Dermatology Medical Corporation's NPI number?
The NPI number for Miremadi Dermatology Medical Corporation is 1760663116. It was assigned to this organization in the NPPES registry on November 14, 2007.
Where is Miremadi Dermatology Medical Corporation located?
Miremadi Dermatology Medical Corporation is located at 7702 Ivanhoe Ave, La Jolla, CA 92037. The listed phone number is (858) 456-1840.
What is Miremadi Dermatology Medical Corporation's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Miremadi Dermatology Medical Corporation enrolled in Medicare?
Yes. Miremadi Dermatology Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Miremadi Dermatology Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Miremadi Dermatology Medical Corporation. 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 Miremadi Dermatology Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D0684137) is associated with this NPI, valid through May 6, 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 Miremadi Dermatology Medical Corporation was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Miremadi Dermatology Medical Corporation · NPI 1760663116
Dermatopathology organization in La Jolla, California. Organization record, active in the CMS NPPES registry since November 14, 2007.
## Identity
- **NPI:** 1760663116 (Entity type: Organization)
- **Enumerated:** November 14, 2007
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **Organization subpart:** No
- **Authorized official:** Arjang Miremadi, PHYSICIAN/OWNER
## Practice location
- **Address:** 7702 IVANHOE AVE, La Jolla, CA 92037-4520
- **Phone:** (858) 456-1840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2007
- **Other identifiers:** Medicare UPIN A99764 (CA); Medicaid 00A310160 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760663116) · Data from the CMS NPPES public registry.