CLOVIS DERMATOLOGY
NPI 1952760308
Dermatology in Clovis, CA

Active since February 14, 2016
275 W HERNDON AVE, CLOVIS, CA 93612(559) 321-4255 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Feb 14, 2016 (2 updates tracked since 2016).

About Clovis Dermatology NPPES

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

CLOVIS DERMATOLOGY (NPI 1952760308) is a healthcare organization registered as a dermatology in Clovis, California and active in the NPI registry since February 2016. The organization lists Raymond Kidwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952760308
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLOVIS DERMATOLOGY, INC
Location Address275 W HERNDON AVEClovis, CA 93612-0204
Mailing Address275 W Herndon AveClovis, CA 93612-0204 · (559) 321-4255
Organization SubpartNo
Authorized OfficialRaymond KidwellCeo · (559) 298-7220
Enumeration DateFebruary 14, 2016
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
NPI 1952760308 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.
275 W HERNDON AVE, Clovis, CA 93612

Other Names 1

Doing Business AsClovis Dermatology

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Internal Medicine
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Family)
275 W HERNDON AVE
CLOVIS, CA 93612
Pediatrics
275 W HERNDON AVE
CLOVIS, CA 93612
Nurse Practitioner (Pediatrics)
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant
275 W HERNDON AVE
CLOVIS, CA 93612
Physician Assistant (Medical)
275 W HERNDON AVE
CLOVIS, CA 93612

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 Clovis Dermatology, Inc's NPI number?

The NPI number for Clovis Dermatology, Inc is 1952760308. It was assigned to this organization in the NPPES registry on February 14, 2016. The provider is doing business as Clovis Dermatology.

Where is Clovis Dermatology, Inc located?

Clovis Dermatology, Inc is located at 275 W Herndon Ave, Clovis, CA 93612. The listed phone number is (559) 321-4255.

What is Clovis Dermatology, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Clovis Dermatology, Inc was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.