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CALIFORNIA DERMATOLOGY AND MOHS SURGERY SPECIALISTS INC
NPI 1881316701
Dermatology in Pasadena, CA

Active since September 16, 2022CLIA 05D2278477 · Certificate of Compliance
50 BELLEFONTAINE ST STE 202, PASADENA, CA 91105(818) 636-9039 Get Directions Write a Review

NPPES record last updated: March 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2026, Sep 16, 2022 (2 updates tracked since 2022).

About California Dermatology And Mohs Surgery Specialists Inc NPPES

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

CALIFORNIA DERMATOLOGY AND MOHS SURGERY SPECIALISTS INC (NPI 1881316701) is a healthcare organization registered as a dermatology in Pasadena, California and active in the NPI registry since September 2022. The organization holds a CLIA Certificate of Compliance certificate valid through January 24, 2028, maintains 2 additional practice locations, and lists Mariah Ginn, Authorized Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1881316701
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCALIFORNIA DERMATOLOGY AND MOHS SURGERY SPECIALISTS INC
Location Address50 BELLEFONTAINE ST STE 202Pasadena, CA 91105-3132
Mailing Address50 Bellefontaine St Ste 202Pasadena, CA 91105-3132
Phone(818) 636-9039
Organization SubpartNo
Authorized OfficialMariah GinnAuthorized Credentialing Specialist · (805) 392-5138
Enumeration DateSeptember 16, 2022
Last NPPES UpdateMarch 22, 20262 updates tracked since enumeration
NPPES CertifiedMarch 22, 2026
✔ NPI 1881316701 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.
50 BELLEFONTAINE ST STE 202, Pasadena, CA 91105
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Secondary Practice Locations 2

Location 1544 N Glendale Ave Ste BGlendale, CA 91206-3311 · Phone (818) 654-4791
Location 2120 Bellefontaine StPasadena, CA 91105-3102 · Phone (626) 654-3376

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)

California Dermatology And Mohs Surgery Specialists 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 California Dermatology And Mohs Surgery Specialists 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)

Teo Soleymani, M.D
Dermatology
NPI 1447679865
50 BELLEFONTAINE ST STE 202
Pasadena, CA 91105
(626) 654-3376
✔ PECOS✔ Accepts MedicareSame address
Neda Black, M.D.
Dermatology
NPI 1023443918
1441 EASTLAKE AVE TOPPING TOWER, SUITE 3405
Los Angeles, CA 90089
(818) 634-2514
✔ PECOS✔ Accepts Medicare5.7 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 05D2278477

California Dermatology And Mohs Surgery Specialists · Pasadena, CA
Active · expires Jan 24, 2028
CLIA Number05D2278477
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorTeo Soleymani
Laboratory Phone(626) 654-3376
Laboratory LocationCalifornia Dermatology And Mohs Surgery Specialists50 Bellefontaine St, Ste 202, Pasadena, CA 91105
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 California Dermatology And Mohs Surgery Specialists Inc's NPI number?

The NPI number for California Dermatology And Mohs Surgery Specialists Inc is 1881316701. It was assigned to this organization in the NPPES registry on September 16, 2022.

Where is California Dermatology And Mohs Surgery Specialists Inc located?

California Dermatology And Mohs Surgery Specialists Inc is located at 50 Bellefontaine St Ste 202, Pasadena, CA 91105. The listed phone number is (818) 636-9039.

What is California Dermatology And Mohs Surgery Specialists Inc's specialty?

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

Is California Dermatology And Mohs Surgery Specialists Inc enrolled in Medicare?

Yes. California Dermatology And Mohs Surgery Specialists Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Dermatology And Mohs Surgery Specialists Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to California Dermatology And Mohs Surgery Specialists 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.

Does California Dermatology And Mohs Surgery Specialists Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2278477) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for California Dermatology And Mohs Surgery Specialists Inc was last updated on March 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.