Organization provider

THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC.

Dermatology Physician MOHS-Micrographic Surgery Physician Procedural Dermatology Physician Medicare enrolled

THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1477880136, based in Folsom, CA. The organization lists 3 taxonomy classifications, with Dermatology Physician recorded as primary.

Getting there

The practice address on file is 192 BLUE RAVINE ROAD SUITE 100, Folsom, CA 95630. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

192 BLUE RAVINE ROAD SUITE 100, Folsom, CA 95630 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A78404 CA Dermatology Physician primary
A78404 CA MOHS-Micrographic Surgery Physician
A78404 CA Procedural Dermatology Physician

This provider holds licence A78404 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)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3173666153
Enrollment ID
O20100201000045

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dermatology covers

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. NUCC Health Care Provider Taxonomy, code 207N00000X
Allopathic & Osteopathic Physicians Dermatology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207N00000X Dermatology Physician A78404 CA primary
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery A78404 CA
207NS0135X Procedural Dermatology Physician Procedural Dermatology A78404 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.

NPI1477880136 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateNov 17, 2009
Last updatedNov 17, 2009
StatusActive
Practice address 192 BLUE RAVINE ROAD
SUITE 100
Folsom, CA 95630
(916) 983-3373
Fax (916) 983-7037
This record was last updated on Nov 17, 2009, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1477880136 passes the NPI check digit test The final digit 6 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 4 7 7 8 8 0 1 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 5 7 7 8 0 1 6

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

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 1477880136?
NPI 1477880136 is the National Provider Identifier assigned to THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC. in Folsom, 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 Dermatology Physician cover?
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…
How do I contact THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC.?
The phone number on file with NPPES is (916) 983-3373, last updated Nov 17, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does THE DERMATOLOGY CENTER OF NORTHERN CALIFORNIA, INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1477880136 a valid number?
Yes. 1477880136 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.