Organization provider

CSI MEDICAL GROUP

Pediatric Dermatology Physician Clinical & Laboratory Dermatological Immunology Physician Dermatology Physician Medicare enrolled

CSI MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1871909804, based in San Pedro, CA. The organization lists 6 taxonomy classifications, with MOHS-Micrographic Surgery Physician recorded as primary.

Getting there

The practice address on file is 1360 W 6TH ST STE 370, San Pedro, CA 90732. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1360 W 6TH ST STE 370, San Pedro, CA 90732 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G81771 CA Pediatric Dermatology Physician
G81771 CA Clinical & Laboratory Dermatological…
G81771 CA Dermatology Physician
G81771 CA Procedural Dermatology Physician
G81771 CA Dermatopathology Physician
G81771 CA MOHS-Micrographic Surgery Physician primary

This provider holds licence G81771 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
5890916845
Enrollment ID
O20141016001930

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 MOHS-Micrographic Surgery covers

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. NUCC Health Care Provider Taxonomy, code 207ND0101X
Allopathic & Osteopathic Physicians Dermatology MOHS-Micrographic Surgery

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207NP0225X Pediatric Dermatology Physician Pediatric Dermatology G81771 CA
207NI0002X Clinical & Laboratory Dermatological Immunology Physician Clinical & Laboratory Dermatological Immunology G81771 CA
207N00000X Dermatology Physician G81771 CA
207NS0135X Procedural Dermatology Physician Procedural Dermatology G81771 CA
207ND0900X Dermatopathology Physician Dermatopathology G81771 CA
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery G81771 CA primary

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.

NPI1871909804 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 10, 2014
Last updatedNov 25, 2025
StatusActive
Practice address 1360 W 6TH ST STE 370
San Pedro, CA 90732
(310) 519-8890
Fax (310) 519-9349
Mailing address PO BOX 104527
Pasadena, CA 91189
This record was updated on Nov 25, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1871909804 passes the NPI check digit test The final digit 4 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 8 7 1 9 0 9 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 5 1 9 0 9 8 0

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

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 1871909804?
NPI 1871909804 is the National Provider Identifier assigned to CSI MEDICAL GROUP in San Pedro, 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 MOHS-Micrographic Surgery cover?
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery…
How do I contact CSI MEDICAL GROUP?
The phone number on file with NPPES is (310) 519-8890, last updated Nov 25, 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.
Does CSI MEDICAL GROUP 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 1871909804 a valid number?
Yes. 1871909804 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.