PRODERM IMAGE , A PROFESSIONAL MEDICAL CORPORATION
NPI 1811667264
Clinic/Center - Medical Specialty in Westlake Village, CA
About Proderm Image , A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRODERM IMAGE , A PROFESSIONAL MEDICAL CORPORATION (NPI 1811667264), doing business as Proderm Image, is a healthcare organization registered as a medical specialty in Westlake Village, California and active in the NPI registry since September 2021. The organization lists Noel Figueroa, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Proderm Image , A Professional 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 Proderm Image , A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Westlake Village, CA 91361
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Proderm Image , A Professional Medical Corporation's NPI number?
The NPI number for Proderm Image , A Professional Medical Corporation is 1811667264. It was assigned to this organization in the NPPES registry on September 16, 2021. The provider is doing business as Proderm Image.
Where is Proderm Image , A Professional Medical Corporation located?
Proderm Image , A Professional Medical Corporation is located at 960 S Westlake Blvd Ste 208, Westlake Village, CA 91361. The listed phone number is (805) 379-5970.
What is Proderm Image , A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Proderm Image , A Professional Medical Corporation enrolled in Medicare?
Yes. Proderm Image , A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proderm Image , A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Proderm Image , A Professional 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.
When was this NPI record last updated?
The NPPES record for Proderm Image , A Professional Medical Corporation was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Proderm Image , A Professional Medical Corporation · NPI 1811667264
Medical Specialty organization in Westlake Village, California. Organization record, active in the CMS NPPES registry since September 16, 2021.
## Identity
- **NPI:** 1811667264 (Entity type: Organization)
- **Enumerated:** September 16, 2021
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Also known as:** Proderm Image (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Noel Figueroa, OFFICE MANAGER
## Practice location
- **Address:** 960 S WESTLAKE BLVD STE 208, Westlake Village, CA 91361-3162
- **Phone:** (805) 379-5970 · **Fax:** (805) 379-5970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811667264) · Data from the CMS NPPES public registry.