Provider Type Icon

SKINPHYSICIANS & SURGEONS MEDICAL GROUP INC. NPI 1356411524


NPI Information

NPI: 1356411524
Provider Name: SKINPHYSICIANS & SURGEONS MEDICAL GROUP, INC.

Doing Business As: SKINPHYSICIANS & SURGEONS, A FOREFRONT DERMATOLOGY PRACTICE

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 05D1012717

Address:
859 E FOOTHILL BLVD STE B
UPLAND, CA
ZIP 91786
Phone: (909) 981-8929
Get Directions

SKINPHYSICIANS & SURGEONS MEDICAL GROUP, INC. is a dermatology in Upland, CA. The provider is 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. SKINPHYSICIANS & SURGEONS MEDICAL GROUP, INC. NPI is 1356411524. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Skinphysicians & Surgeons, A Forefront Dermatology Practice.

The provider's business location address is:

859 E FOOTHILL BLVD STE B
UPLAND, CA
ZIP 91786-085
Phone: (909) 981-8929
Fax: (909) 946-9740

The provider's authorized official is Betsy J Wernli .
The authorized official title is President and has the following contact phone number (920) 482-0671.

The CLIA number assigned to this NPI record is 05D1012717 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 2/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyA76057CALIFORNIANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207N00000XDermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.