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Export Provider Record NPI 1043536543
Advanced Dermatology Care, Inc.
Organization Subpart: YES
Active
NPI Number1043536543
NPI TypeNPI-2 Organization
SpecialtySurgery, Plastic and Reconstructive Surgery
Provider Details
NPI1043536543
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-04-09
Last Updated2014-06-04
Authorized OfficialFlora Ting
Office Manager
Phone: 9253280255
Mailing Address2262 Camino Ramon
San Ramon, CA 94583
United States
Phone: (925) 328-0255 | Fax: (925) 328-0257
📍 View Map
Primary Practice Address2262 Camino Ramon
San Ramon, CA 94583
United States
Phone: (925) 328-0255 | Fax: (925) 328-0257
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207N00000X – DermatologyCAA82266
Yes2086S0122X – Surgery, Plastic and Reconstructive SurgeryCAA82266
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About NPI 1043536543

Advanced Dermatology Care, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1043536543. The primary specialty listed is Surgery, Plastic and Reconstructive Surgery. The organization is located in San Ramon, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-04-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043536543?

NPI 1043536543 belongs to Advanced Dermatology Care, Inc., a Surgery, Plastic and Reconstructive Surgery in San Ramon, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043536543 active?

The current status of NPI 1043536543 in the NPPES registry is Active. The record was last updated on 2014-06-04.

What specialty is NPI 1043536543?

NPI 1043536543 is classified under the taxonomy Surgery, Plastic and Reconstructive Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043536543?

You can verify NPI 1043536543 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043536543?

The primary practice address on file for NPI 1043536543 is 2262 Camino Ramon, San Ramon, CA 94583. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043536543 issued?

NPI 1043536543 was first issued (enumerated) on 2010-04-09. The NPPES record was last updated on 2014-06-04.

Practice Location Map

Advanced Dermatology Care, Inc. is located at 2262 Camino Ramon, San Ramon, CA. Use the map below to find directions or verify the practice location.

📍 2262 Camino Ramon, San Ramon, CA 94583  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Advanced Dermatology Care, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1043536543. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
DermatologyA82266CA
Surgery, Plastic and Reconstructive SurgeryA82266CA
Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162