FOCUS DERMATOPATHOLOGY, INC.
NPI 1457100612
Dermatology - Dermatopathology in Tustin, CA

NPI Status: Active since May 17, 2024

Contact Information

2852 WALNUT AVE STE G
TUSTIN, CA
ZIP 92780
Phone: (657) 231-2127
Fax: (276) 883-6167

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  • Organization
  • Dermatology
  • Dermatopathology
  • CLIA Number: 05D2324047
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 05-15-2027

About FOCUS DERMATOPATHOLOGY, INC.

This page provides the complete NPI Profile along with additional information for Focus Dermatopathology, Inc., a provider established in Tustin, California operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1457100612 assigned on May 2024. The practitioner's primary taxonomy code is 207ND0900X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Hadas Skupsky Md (Owner)

NPI
1457100612
Provider Legal Name
FOCUS DERMATOPATHOLOGY, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2852 WALNUT AVE STE G TUSTIN, CA 92780
Location Phone
(657) 231-2127
Location Fax
(276) 883-6167
Mailing Address
2852 WALNUT AVE STE G TUSTIN, CA 92780
Mailing Phone
(657) 231-2127
Mailing Fax
(276) 883-6167
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-17-2024
Last Update Date
05-21-2025
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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 Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

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

HADAS SKUPSKY MD

Authorized Official Title
OWNER
Authorized Official Phone
(657) 231-2127

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
05D2324047
Facility Type
Independent
Certificate Effective Date
May 16, 2025
Certificate Expiration Date
May 15, 2027
Laboratory Director
HADAS SKUPSKY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Focus Dermatopathology, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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.
1457100612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410720062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 2 + 0 + 0 + 6 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1457100612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457100612, enumerated in the NPI registry as an "organization" on May 17, 2024

The provider is located at 2852 Walnut Ave Ste G Tustin, Ca 92780 and the phone number is (657) 231-2127

This medical organization specializes in Dermatology with taxonomy code 207ND0900X with a focus in Dermatopathology

The provider's CLIA number is 05D2324047 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 17, 2024. 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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