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STEPHANIE J. MARTIN INC
NPI 1962075754
Dermatology in Encino, CA

Active since July 20, 2021
16550 VENTURA BLVD STE 120, ENCINO, CA 91436(818) 208-9204(818) 208-9204 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie J. Martin Inc NPPES

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

STEPHANIE J. MARTIN INC (NPI 1962075754), doing business as Cal Coast Dermatology, is a healthcare organization registered as a dermatology in Encino, California and active in the NPI registry since July 2021. The organization lists Stephanie J Martin, Md/ceo, as its authorized official.

NPPES Registry Identity

NPI1962075754
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSTEPHANIE J. MARTIN INC
Location Address16550 VENTURA BLVD STE 120Encino, CA 91436-2014
Mailing Address16550 Ventura Blvd Ste 120Encino, CA 91436-2014 · (818) 208-9204 · Fax (818) 208-9204
Phone(818) 208-9204
Fax(818) 208-9204
Organization SubpartNo
Authorized OfficialStephanie J MartinMd/ceo · (713) 657-5776
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1962075754 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.
16550 VENTURA BLVD STE 120, Encino, CA 91436
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Other Names 1

Doing Business AsCal Coast Dermatology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Stephanie J. Martin 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 Stephanie J. Martin Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephanie Martin, M.D.
Dermatology
NPI 1891053419
16260 VENTURA BLVD
Encino, CA 91436
(818) 788-4022
✔ PECOS✔ Accepts Medicare0.4 mi
Renee Lucero, DO
Dermatology
NPI 1942797543
100 CLOCK TOWER PL STE 250
Carmel, CA 93923
(831) 308-4570
✔ PECOS✔ Accepts Medicare253 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 05D2255566

Stephanie J Martin, Inc Dba Cal Coast Dermatology · Encino, CA
Expired · Sep 30, 2026
CLIA Number05D2255566
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorStephanie J. Martin
Laboratory Phone(818) 208-9204
Laboratory LocationStephanie J Martin, Inc Dba Cal Coast Dermatology16550 Ventura Blvd Suite 120, Encino, CA 91436
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 Stephanie J. Martin Inc's NPI number?

The NPI number for Stephanie J. Martin Inc is 1962075754. It was assigned to this organization in the NPPES registry on July 20, 2021. The provider is doing business as Cal Coast Dermatology.

Where is Stephanie J. Martin Inc located?

Stephanie J. Martin Inc is located at 16550 Ventura Blvd Ste 120, Encino, CA 91436. The listed phone number is (818) 208-9204.

What is Stephanie J. Martin Inc's specialty?

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

Is Stephanie J. Martin Inc enrolled in Medicare?

Yes. Stephanie J. Martin Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephanie J. Martin Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Stephanie J. Martin 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie J. Martin Inc was last updated on July 20, 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.