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CPP 435SKIN PC
NPI 1821884610
Dermatology in Fresno, CA

Active since April 17, 2025
1125 E SPRUCE AVE STE 207, FRESNO, CA 93720(559) 435-7546(559) 435-4976 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cpp 435skin Pc NPPES

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

CPP 435SKIN PC (NPI 1821884610) is a healthcare organization registered as a dermatology in Fresno, California and active in the NPI registry since April 2025. The organization lists Jessica N Palmer, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1821884610
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCPP 435SKIN PC
Location Address1125 E SPRUCE AVE STE 207Fresno, CA 93720-3390
Mailing Address1125 E Spruce Ave Ste 207Fresno, CA 93720-3390 · (559) 435-7546 · Fax (559) 435-4976
Phone(559) 435-7546
Fax(559) 435-4976
Organization SubpartNo
Authorized OfficialJessica N PalmerBilling Manager · (559) 892-2030
Enumeration DateApril 17, 2025
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
✔ NPI 1821884610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1125 E SPRUCE AVE STE 207, Fresno, CA 93720
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cpp 435skin Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Cpp 435skin PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Julie Caldwell, F.N.P
Nurse Practitioner
NPI 1740290568
1125 E SPRUCE AVE STE 207
Fresno, CA 93720
(559) 435-7546
✔ PECOS✔ Accepts MedicareSame address
Mansee Desai, MD
Dermatology
NPI 1346701398
1125 E SPRUCE AVE STE 207
Fresno, CA 93720
(559) 435-7546
✔ PECOS✔ Accepts MedicareSame address
Regine Mathieu, MD
Dermatology
NPI 1285130401
1125 E SPRUCE AVE STE 207
Fresno, CA 93720
(559) 435-7546
✔ PECOS✔ Accepts MedicareSame address
Kathleen Behr, MD
Dermatology
NPI 1104812452
1125 E SPRUCE AVE #207
Fresno, CA 93720
(559) 435-7546
✔ PECOS✔ Accepts MedicareSame address
Chia Yeh-To, MD
Dermatology
NPI 1528076742
6700 N 1ST ST STE 131
Fresno, CA 93710
(559) 432-3333
✔ PECOS✔ Accepts Medicare0.6 mi

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 05D1016002

Cpp 435skin PC · Fresno, CA
Expired · Sep 30, 2026
CLIA Number05D1016002
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2022
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorKathleen L. Behr
Laboratory Phone(559) 435-7546
Laboratory LocationCpp 435skin PC1125 E Spruce Ave Ste 207, Fresno, CA 93720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Cpp 435skin PC's NPI number?

The NPI number for Cpp 435skin PC is 1821884610. It was assigned to this organization in the NPPES registry on April 17, 2025.

Where is Cpp 435skin PC located?

Cpp 435skin PC is located at 1125 E Spruce Ave Ste 207, Fresno, CA 93720. The listed phone number is (559) 435-7546.

What is Cpp 435skin PC's specialty?

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

Is Cpp 435skin PC enrolled in Medicare?

Yes. Cpp 435skin PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cpp 435skin PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Cpp 435skin PC. 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. The largest specialties are Dermatology (4) and Nurse Practitioner (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cpp 435skin PC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.