BAKERSFIELD DERMATOLOGY AND SKIN CANCER PC
NPI 1366706764
Dermatology in Bakersfield, CA

NPI Status: Active since June 29, 2012

Contact Information

5600 CALIFORNIA AVE
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 322-2700

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  • Organization
  • Dermatology
  • CLIA Number: 05D2063554
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-04-2025

About BAKERSFIELD DERMATOLOGY AND SKIN CANCER PC

This page provides the complete NPI Profile along with additional information for Bakersfield Dermatology And Skin Cancer Pc, a provider established in Bakersfield, California operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1366706764 assigned on June 2012. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Daniel Taheri Md (President)

NPI
1366706764
Provider Name
BAKERSFIELD DERMATOLOGY AND SKIN CANCER PC
Entity Type
Organization
Location Address
5600 CALIFORNIA AVE BAKERSFIELD, CA 93309
Location Phone
(661) 322-2700
Mailing Address
PO BOX 496084 REDDING, CA 96049
Mailing Phone
(661) 322-2700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2012
Last Update Date
06-29-2012
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A dermatologist like Bakersfield Dermatology And Skin Cancer Pc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL TAHERI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(661) 322-2700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2063554
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 05, 2023
Certificate Expiration Date
August 04, 2025
Laboratory Director
DANIEL P. TAHERI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bakersfield Dermatology And Skin Cancer Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366706764
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312614012712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 4 + 0 + 1 + 2 + 7 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1366706764 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982954640BAKERSFIELD SPECIALTY SURGERY CENTER, PC
Organization
Clinic/Center (Ambulatory Surgical)5600 CALIFORNIA AVE
BAKERSFIELD, CA 93309
(800) 991-6448

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366706764, enumerated in the NPI registry as an "organization" on June 29, 2012

The provider is located at 5600 California Ave Bakersfield, Ca 93309 and the phone number is (661) 322-2700

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider's CLIA number is 05D2063554 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 29, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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