KALIA DERMATOLOGY & LASER CENTER, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1861121741
Dermatology in Los Gatos, CA

Active since June 07, 2022
15055 LOS GATOS BLVD STE 100, LOS GATOS, CA 95032(408) 356-1000(408) 356-1125 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2022, Jun 7, 2022 (2 updates tracked since 2022).

About Kalia Dermatology & Laser Center, A Forefront Dermatology Practice NPPES

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

KALIA DERMATOLOGY & LASER CENTER, A FOREFRONT DERMATOLOGY PRACTICE (NPI 1861121741) is a healthcare organization registered as a dermatology in Los Gatos, California and active in the NPI registry since June 2022. The organization maintains 2 additional practice locations and lists Betsy Jane Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1861121741
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY - PACIFIC, P.C.
Location Address15055 LOS GATOS BLVD STE 100Los Gatos, CA 95032-2056
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(408) 356-1125
Organization SubpartNo
Authorized OfficialBetsy Jane WernliPresident · (920) 482-0671
Enumeration DateJune 7, 2022
Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1861121741 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.
15055 LOS GATOS BLVD STE 100, Los Gatos, CA 95032

Other Names 1

Doing Business AsKalia Dermatology & Laser Center, A Forefront Dermatology Practice

Secondary Practice Locations 2

Location 115055 Los Gatos Blvd Ste 240Los Gatos, CA 95032-2056 · Phone (408) 356-1000 · Fax (408) 356-1125
Location 215055 Los Gatos Blvd Ste 310Los Gatos, CA 95032-2056 · Phone (408) 356-1000 · Fax (408) 356-1125

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalia Dermatology & Laser Center, A Forefront Dermatology Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20031219000212Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Kalia Dermatology & Laser Center, A Forefront Dermatology Practice, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology15
Micrographic Dermatologic Surgery (MDS)1
Nurse Practitioner1
Otolaryngology1

Clinicians, nearest first (18)

Dermatology
NPI 1588722680
15055 LOS GATOS BLVD STE 100
Los Gatos, CA 95032
(408) 356-1000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1114181914
15055 LOS GATOS BLVD STE 100
Los Gatos, CA 95032
(408) 356-1000
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1942201702
1661 SOQUEL DR STE E
Santa Cruz, CA 95065
(831) 476-2444
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1417958273
1661 SOQUEL DR STE E
Santa Cruz, CA 95065
(831) 476-2444
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1952302556
1661 SOQUEL DR STE E
Santa Cruz, CA 95065
(831) 476-2444
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1861830077
105 W MISSION ST
Santa Barbara, CA 93101
(805) 682-7874
✔ PECOS✔ Accepts Medicare232 mi
Nurse Practitioner
NPI 1366159741
267 W HILLCREST DR
Thousand Oaks, CA 91360
(805) 497-1694
✔ PECOS✔ Accepts Medicare273 mi
Dermatology
NPI 1104023837
267 W HILLCREST DR
Thousand Oaks, CA 91360
(805) 497-1694
✔ PECOS✔ Accepts Medicare273 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1740214378
267 W HILLCREST DR
Thousand Oaks, CA 91360
(805) 497-1694
✔ PECOS✔ Accepts Medicare273 mi
Dermatology
NPI 1770796708
267 W HILLCREST DR
Thousand Oaks, CA 91360
(805) 497-1694
✔ PECOS✔ Accepts Medicare274 mi
Dermatology
NPI 1144663683
267 W HILLCREST DR
Thousand Oaks, CA 91360
(805) 497-1694
✔ PECOS✔ Accepts Medicare274 mi
Otolaryngology
NPI 1871717140
433 N CAMDEN DR STE 500
Beverly Hills, CA 90210
(310) 529-9575
✔ PECOS✔ Accepts Medicare297 mi
Dermatology
NPI 1083812770
1450 SAN PABLO ST STE 2000
Los Angeles, CA 90033
(323) 442-6200
✔ PECOS✔ Accepts Medicare305 mi
Dermatology
NPI 1326535741
859 E FOOTHILL BLVD STE B
Upland, CA 91786
(909) 981-8929
✔ PECOS✔ Accepts Medicare324 mi
Dermatology
NPI 1720131741
886 W FOOTHILL BLVD STE C
Upland, CA 91786
(310) 280-8719
✔ PECOS✔ Accepts Medicare324 mi
Dermatology
NPI 1558452425
859 E FOOTHILL BLVD STE B
Upland, CA 91786
(909) 981-8929
✔ PECOS✔ Accepts Medicare325 mi
Dermatology
NPI 1235252289
859 E FOOTHILL BLVD STE B
Upland, CA 91786
(909) 981-8929
✔ PECOS✔ Accepts Medicare325 mi
Dermatology
NPI 1477096782
8401 PINE AVE STE 120
Chino, CA 91708
(909) 789-0937
✔ PECOS✔ Accepts Medicare333 mi

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 Forefront Dermatology - Pacific, P.C.'s NPI number?

The NPI number for Forefront Dermatology - Pacific, P.C. is 1861121741. It was assigned to this organization in the NPPES registry on June 7, 2022. The provider is doing business as Kalia Dermatology & Laser Center, A Forefront Dermatology Practice.

Where is Forefront Dermatology - Pacific, P.C. located?

Forefront Dermatology - Pacific, P.C. is located at 15055 Los Gatos Blvd Ste 100, Los Gatos, CA 95032. The listed phone number is (408) 356-1000.

What is Forefront Dermatology - Pacific, P.C.'s specialty?

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

Is Forefront Dermatology - Pacific, P.C. enrolled in Medicare?

Yes. Forefront Dermatology - Pacific, P.C. is registered in the Medicare PECOS enrollment system.

When is Forefront Dermatology - Pacific, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Forefront Dermatology - Pacific, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Forefront Dermatology - Pacific, P.C.. 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 (15), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Forefront Dermatology - Pacific, P.C. was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.