CARLSON SURGICAL DERMATOLOGY CORP
NPI 1912649096
Dermatology in San Francisco, CA
About Carlson Surgical Dermatology Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLSON SURGICAL DERMATOLOGY CORP (NPI 1912649096), doing business as California Center For Dermatologic Surgery, is a healthcare organization registered as a dermatology in San Francisco, California and active in the NPI registry since April 2022. The organization lists Ekama Carlson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlson Surgical Dermatology Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carlson Surgical Dermatology Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D2271683
Carlson Surgical Dermatology Corp Dba Ca Ctr For Derm Surgery · San Francisco, CAFrequently 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 Carlson Surgical Dermatology Corp's NPI number?
The NPI number for Carlson Surgical Dermatology Corp is 1912649096. It was assigned to this organization in the NPPES registry on April 10, 2022. The provider is doing business as California Center for Dermatologic Surgery.
Where is Carlson Surgical Dermatology Corp located?
Carlson Surgical Dermatology Corp is located at 2100 Webster St Ste 506, San Francisco, CA 94115. The listed phone number is (415) 226-9431.
What is Carlson Surgical Dermatology Corp's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Carlson Surgical Dermatology Corp enrolled in Medicare?
Yes. Carlson Surgical Dermatology Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carlson Surgical Dermatology Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Micrographic Dermatologic Surgery (MDS)) reassigns their Medicare billing to Carlson Surgical Dermatology Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carlson Surgical Dermatology Corp was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.