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

Active since September 08, 2006
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: October 25, 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 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Accredited Dermatology Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Accredited Dermatology Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kristina Holmkvist, M.D.
Dermatology
NPI 1194772822
301 W BASTANCHURY ROAD SUITE 245
Fullerton, CA 92835
(714) 525-3500
✔ PECOS✔ Accepts MedicareSame address
Patrick Dahl, MD
Dermatology
NPI 1033213392
301 W BASTANCHURY ROAD SUITE 245
Fullerton, CA 92835
(714) 525-3500
✔ PECOS✔ Accepts Medicare0.3 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 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.

Is Accredited Dermatology Medical Clinic Inc enrolled in Medicare?

Yes. Accredited Dermatology Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Accredited Dermatology Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Accredited Dermatology Medical Clinic Inc. 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. Of these, 1 practice at this address and 2 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 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 6 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.