ADVANCED DERMATOLOGY & SKIN CANCER SPECIALISTS
NPI 1881023927
Dermatology in Temecula, CA

NPI Status: Active since November 08, 2013

Contact Information

31720 TEMECULA PKWY
SUITE #203
TEMECULA, CA
ZIP 92592
Phone: (951) 303-6900
Fax: (951) 303-2900

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  • Organization
  • Dermatology
  • CLIA Number: 05D2080392
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-30-2025

About ADVANCED DERMATOLOGY & SKIN CANCER SPECIALISTS

This page provides the complete NPI Profile along with additional information for Advanced Dermatology & Skin Cancer Specialists, a provider established in Temecula, California operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1881023927 assigned on November 2013. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jesse David Mitchell M.d. (President)

NPI
1881023927
Provider Name
ADVANCED DERMATOLOGY & SKIN CANCER SPECIALISTS
Entity Type
Organization
Location Address
31720 TEMECULA PKWY SUITE #203 TEMECULA, CA 92592
Location Phone
(951) 303-6900
Location Fax
(951) 303-2900
Mailing Address
31720 TEMECULA PKWY SUITE #203 TEMECULA, CA 92592
Mailing Phone
(951) 303-6900
Mailing Fax
(951) 303-2900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2013
Last Update Date
11-08-2013
Code Navigator

A dermatologist like Advanced Dermatology & Skin Cancer Specialists is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
2207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

 
3207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JESSE DAVID MITCHELL M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(951) 303-6900

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2080392
Facility Type
Physician Office
Certificate Effective Date
February 05, 2021
Certificate Expiration Date
June 30, 2025
Laboratory Director
JESSE D. MITCHELL
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Advanced Dermatology & Skin Cancer Specialists after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for ADVANCED DERMATOLOGY & SKIN CANCER SPECIALISTS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1881023927
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2816102694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 0 + 2 + 6 + 9 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1881023927 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

MRS. LAURA J CANNADAY PT

Physical Therapist

31720 TEMECULA PKWY
SUITE 101
TEMECULA, CA
ZIP 92592

(951) 696-9353

CHRISTOPHER JOHN IVEY MPT,OCS

Physical Therapist

31720 TEMECULA PKWY
SUITE 101
TEMECULA, CA
ZIP 92592

(951) 303-3566

DR. CURTISS WALTER COMBS M.D.

Family Medicine

31720 TEMECULA PKWY
STE 203
TEMECULA, CA
ZIP 92592

(951) 302-4700

SOUTHWEST HEART INSTITUTE MEDICAL CORPORATION

Internal Medicine

(Cardiovascular Disease)

31720 TEMECULA PKWY
100
TEMECULA, CA
ZIP 92592

(951) 693-4433

PRIME PARTNERS

Internal Medicine

31720 TEMECULA PKWY
SUITE 204
TEMECULA, CA
ZIP 92592

(951) 302-1576

MRS. CHRISTINA SHAW PA-C

Physician Assistant

31720 TEMECULA PKWY
TEMECULA, CA
ZIP 92592

(951) 302-1576

RAELYNN DENISE NUTT DPT

Physical Therapist

31720 TEMECULA PKWY
SUITE 101
TEMECULA, CA
ZIP 92592

(951) 303-3566

HEART INSTITUTE OF SOUTHERN CALIFORNIA, APMC

Internal Medicine

(Cardiovascular Disease)

31720 TEMECULA PKWY
SUITE 200
TEMECULA, CA
ZIP 92592

(951) 302-0606

MS. DEBRA LYNN GROMACKI-BLYTH PA-C

Physician Assistant

31720 TEMECULA PKWY
SUITE 203
TEMECULA, CA
ZIP 92592

(951) 303-6900

KRISTIN FISCHER

Physical Therapist

31720 TEMECULA PKWY
SUITE 101
TEMECULA, CA
ZIP 92592

(951) 303-3566

MARIANNA LEIGH MAXWELL DPT

Physical Therapist

31720 TEMECULA PKWY
SUITE 101
TEMECULA, CA
ZIP 92592

(951) 303-3566

MS. KARIE M HALL PA-C

Physician Assistant

31720 TEMECULA PKWY
#203
TEMECULA, CA
ZIP 92592

(951) 303-6900

KRISTIN NICOLE OELSCHLEGAL DPT

Physical Therapist

(Orthopedic)

31720 TEMECULA PKWY
SUITE 101
TEMECULA, CA
ZIP 92592

(951) 303-3566

KRYSTINA CARCONE PA-C

Physician Assistant

31720 TEMECULA PKWY
TEMECULA, CA
ZIP 92592

(951) 303-6900

VALERIE KAY VAHDAT NP

Nurse Practitioner

(Primary Care)

31720 TEMECULA PKWY
TEMECULA, CA
ZIP 92592

(833) 867-4642

RANCHO PHYSICAL THERAPY, INC.

Physical Therapist

31720 TEMECULA PKWY
STE 101
TEMECULA, CA
ZIP 92592

(951) 303-3566

MRS. TANIA PONCE PA-C

Physician Assistant

31720 TEMECULA PKWY
SUITE 200
TEMECULA, CA
ZIP 92592

(951) 302-1576

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881023927, enumerated as an "organization" on November 08, 2013.

The provider is located at 31720 TEMECULA PKWY SUITE #203 TEMECULA, CA 92592 and the phone number is (951) 303-6900.

Dermatology with taxonomy code 207N00000X.