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ACCREDITED DERMATOLOGY MEDICAL CLINIC INC
NPI 1871697136
Dermatology in Fullerton, CA

Active since September 08, 2006CLIA 05D0930903 · Certificate of Compliance
301 W BASTANCHURY ROAD, SUITE 245, FULLERTON, CA 92835(714) 525-3500(714) 525-3588 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Accredited Dermatology Medical Clinic Inc NPPES

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

ACCREDITED DERMATOLOGY MEDICAL CLINIC INC (NPI 1871697136) is a healthcare organization registered as a dermatology in Fullerton, California and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 27, 2027 and lists Patrick Robert Dahl, Physician, as its authorized official.

NPPES Registry Identity

NPI1871697136
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACCREDITED DERMATOLOGY MEDICAL CLINIC INC
Location Address301 W BASTANCHURY ROAD, SUITE 245Fullerton, CA 92835
Mailing AddressPo Box 5859Fullerton, CA 92838 · (714) 525-3500 · Fax (714) 525-3588
Phone(714) 525-3500
Fax(714) 525-3588
Organization SubpartNo
Authorized OfficialPatrick Robert DahlPhysician · (714) 525-3500
Enumeration DateSeptember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871697136 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.
301 W BASTANCHURY ROAD, Fullerton, CA 92835
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D0930903

Accredited Dermatology Medical Clinic Inc · Fullerton, CA
Active · expires Feb 27, 2027
CLIA Number05D0930903
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorPatrick R. Dahl
Laboratory Phone(714) 525-3500
Laboratory LocationAccredited Dermatology Medical Clinic Inc301 W Bastanchury Rd, Ste 245, Fullerton, CA 92835
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK ROBERT DAHL MD
Dermatology
301 W BASTANCHURY ROAD, SUITE 245
FULLERTON, CA 92835
Orange County (714) 525-3500
KRISTINA A HOLMKVIST M.D.
Dermatology
301 W BASTANCHURY ROAD, SUITE 245
FULLERTON, CA 92835
Orange County (714) 525-3500

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 Accredited Dermatology Medical Clinic Inc's NPI number?

The NPI number for Accredited Dermatology Medical Clinic Inc is 1871697136. It was assigned to this organization in the NPPES registry on September 8, 2006.

Where is Accredited Dermatology Medical Clinic Inc located?

Accredited Dermatology Medical Clinic Inc is located at 301 W Bastanchury Road Suite 245, Fullerton, CA 92835. The listed phone number is (714) 525-3500.

What is Accredited Dermatology Medical Clinic Inc's specialty?

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

Does Accredited Dermatology Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0930903) is associated with this NPI, valid through February 27, 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 Accredited Dermatology Medical Clinic Inc was last updated on August 22, 2020. 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.