PACIFICA CENTER FOR DERMATOLOGY
NPI 1497392492
Dermatology in Camarillo, CA
NPI Status: Active since December 09, 2019
Contact Information
2460 N PONDEROSA DR STE A117
CAMARILLO, CA
ZIP 93010
Phone: (805) 430-0002
- Organization
- Dermatology
- CLIA Number: 05D2220598
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-24-2026
About PACIFICA CENTER FOR DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Pacifica Center For Dermatology, a provider established in Camarillo, California operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1497392492 assigned on December 2019. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pacifica Center For Dermatology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Pacifica Center For Dermatology. The authorized official of this NPI record is Nicole Fifer (D)
- NPI
- 1497392492
- Provider Legal Name
- PACIFICA DERMATOLOGY
- Other Organization Name
- PACIFICA CENTER FOR DERMATOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2460 N PONDEROSA DR STE A117 CAMARILLO, CA 93010
- Location Phone
- (805) 430-0002
- Mailing Address
- 2460 N PONDEROSA DR STE A117 CAMARILLO, CA 93010
- Mailing Phone
- (805) 430-0002
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2019
- Last Update Date
- 03-13-2024
- Code Navigator
A dermatologist like Pacifica Center For Dermatology 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.
Location Map
Secondary Locations
- 1722 State St Ste 102
Santa Barbara, CA 93101
(805) 898-0700 - 12050 Ventura Blvd Ste B106
Studio City, CA 91604
(818) 763-0220
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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 05D2220598
- Facility Type
- Physician Office
- Certificate Effective Date
- April 25, 2024
- Certificate Expiration Date
- April 24, 2026
- Laboratory Director
- RAHIL DHARIA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pacifica Center For Dermatology 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. | |||||||||
| 1 | 4 | 9 | 7 | 3 | 9 | 2 | 4 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 6 | 9 | 4 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 6 + 9 + 4 + 4 + 1 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1497392492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942393053 | DANIEL GENE KOLDER MD Individual | Surgery | 2460 N PONDEROSA DR STE A117 CAMARILLO, CA 93010 (805) 484-2855 |
| 1083239727 | LARISSA LARSEN DERMATOLOGY INC Organization | Dermatology | 2460 N PONDEROSA DR STE A117 CAMARILLO, CA 93010 (805) 430-0002 |
| 1487467247 | DAVID SISCO MD PC Organization | Anesthesiology | 2460 N PONDEROSA DR STE A117 CAMARILLO, CA 93010 (805) 491-9353 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497392492, enumerated in the NPI registry as an "organization" on December 09, 2019
The provider is located at 2460 N Ponderosa Dr Ste A117 Camarillo, Ca 93010 and the phone number is (805) 430-0002
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider's CLIA number is 05D2220598 for a "physician office" 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 December 09, 2019. 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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