Organization provider

SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS

Pediatric Dermatology Physician Dermatology Physician

SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174681720, based in Palmdale, CA. The organization lists 2 taxonomy classifications, with Pediatric Dermatology Physician recorded as primary.

Getting there

The practice address on file is 1529 PALMDALE BLVD STE 207, Palmdale, CA 93550. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1529 PALMDALE BLVD STE 207, Palmdale, CA 93550 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A92792 CA Pediatric Dermatology Physician primary
A92792 CA Dermatology Physician

This provider holds licence A92792 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Pediatric Dermatology covers

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. NUCC Health Care Provider Taxonomy, code 207NP0225X
Allopathic & Osteopathic Physicians Dermatology Pediatric Dermatology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207NP0225X Pediatric Dermatology Physician Pediatric Dermatology A92792 CA primary
207N00000X Dermatology Physician A92792 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1174681720 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 5, 2006
Last updatedSep 11, 2025
StatusActive
Practice address 1529 PALMDALE BLVD
STE 207
Palmdale, CA 93550
(661) 267-1900
Fax (661) 267-0700
Mailing address 9001 WILSHIRE BLVD #106
Beverly Hills, CA 90211
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1174681720 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 6 8 1 7 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 3 8 2 7 4

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174681720?
NPI 1174681720 is the National Provider Identifier assigned to SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS in Palmdale, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Dermatology cover?
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
How do I contact SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS?
The phone number on file with NPPES is (661) 267-1900, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1174681720 a valid number?
Yes. 1174681720 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.