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ADVANCED DERMATOLOGY & COSMETICS LASER CARE A MEDICAL CORPORATION
NPI 1912026097
Specialist in Valencia, CA

Active since March 28, 2007
28212 KELLY JOHNSON PKWY, SUITE 245, VALENCIA, CA 91355(661) 254-3686(661) 254-5671 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Dermatology & Cosmetics Laser Care A Medical Corporation NPPES

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

ADVANCED DERMATOLOGY & COSMETICS LASER CARE A MEDICAL CORPORATION (NPI 1912026097) is a healthcare organization registered as a specialist in Valencia, California and active in the NPI registry since March 2007. The organization lists Bernard I Raskin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912026097
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED DERMATOLOGY & COSMETICS LASER CARE A MEDICAL CORPORATION
Location Address28212 KELLY JOHNSON PKWY, SUITE 245Valencia, CA 91355-5084
Mailing Address28212 Kelly Johnson Pkwy, Suite 245Valencia, CA 91355-5084 · (661) 254-3686 · Fax (661) 254-5671
Phone(661) 254-3686
Fax(661) 254-5671
Organization SubpartNo
Authorized OfficialBernard I RaskinMedical Director · (661) 254-3686
Enumeration DateMarch 28, 2007
Last NPPES UpdateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1912026097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
28212 KELLY JOHNSON PKWY, Valencia, CA 91355
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology & Cosmetics Laser Care A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Dermatology & Cosmetics Laser Care A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Bernard Raskin, MD
Dermatology
NPI 1013941962
28212 KELLY JOHNSON PKWY STE 245
Valencia, CA 91355
(661) 254-3686
✔ PECOS✔ Accepts MedicareSame address
Soheila Delrahim, M.D.
Family Practice
NPI 1508019746
11510 MANCHESTER WAY
Porter Ranch, CA 91326
(818) 606-1471
✔ PECOS✔ Accepts Medicare11 mi
Soheil Simzar, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1780881797
2021 SANTA MONICA BLVD SUITE 600E
Santa Monica, CA 90404
(310) 828-2282
✔ PECOS✔ Accepts Medicare29 mi
Shahram Abrishamy, M.D.
Family Practice
NPI 1649492448
4560 ADMIRALTY WAY SUITE 200
Marina Del Rey, CA 90292
(310) 306-7100
✔ PECOS✔ Accepts Medicare33 mi
Mae Casabar-Urbano, NP
Nurse Practitioner
NPI 1508758814
4100 EMPIRE DR STE 120
Bakersfield, CA 93309
(866) 903-3376
✔ PECOS✔ Accepts Medicare69 mi
Lorenzo Sen, NP
Nurse Practitioner
NPI 1629899901
4100 EMPIRE DR STE 120
Bakersfield, CA 93309
(866) 903-3376
✔ PECOS✔ Accepts Medicare69 mi
Alexa Gozali, DO
Family Practice
NPI 1407309594
30131 TOWN CENTER DR STE 135
Laguna Niguel, CA 92677
(949) 363-9595
✔ PECOS✔ Accepts Medicare81 mi
Matthew Willett, M.D.
Dermatology
NPI 1720328107
NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
Camp Pendleton, CA 92055
(760) 719-3249
✔ PECOS✔ Accepts Medicare98 mi
Sonia Badreshia, MD
Dermatology
NPI 1407894074
360 ROSE AVE
Danville, CA 94526
(925) 389-7196
✔ PECOS✔ Accepts Medicare301 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 05D0688237

Advanced Dermatology And Cosmetic Laser Care, A Medical Corporation · Valencia, CA
Expired · Sep 30, 2026
CLIA Number05D0688237
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorBernard I. Raskin MD
Laboratory Phone(661) 254-3686
Laboratory LocationAdvanced Dermatology And Cosmetic Laser Care, A Medical Corporation28212 Kelly Johnson Pkwy Ste 245, Valencia, CA 91355
CLIA data matches this NPI record on: Address 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 Advanced Dermatology & Cosmetics Laser Care A Medical Corporation's NPI number?

The NPI number for Advanced Dermatology & Cosmetics Laser Care A Medical Corporation is 1912026097. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Advanced Dermatology & Cosmetics Laser Care A Medical Corporation located?

Advanced Dermatology & Cosmetics Laser Care A Medical Corporation is located at 28212 Kelly Johnson Pkwy Suite 245, Valencia, CA 91355. The listed phone number is (661) 254-3686.

What is Advanced Dermatology & Cosmetics Laser Care A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Advanced Dermatology & Cosmetics Laser Care A Medical Corporation enrolled in Medicare?

Yes. Advanced Dermatology & Cosmetics Laser Care A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology & Cosmetics Laser Care A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Dermatology & Cosmetics Laser Care A Medical Corporation. 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 (3), Family Practice (3) and Nurse Practitioner (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Dermatology & Cosmetics Laser Care A Medical Corporation accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 35 other insurers list Advanced Dermatology & Cosmetics Laser Care A Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology & Cosmetics Laser Care A Medical Corporation was last updated on December 15, 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.