Innovative Dermatology Alliance Ca
NPI 1083188221 · Dermatology Physician · Visalia, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Dermatology Alliance Ca is a Dermatology Physician organization in Visalia, CA (NPI 1083188221).
Provider details
- NPI number
- 1083188221
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Rex, Owner/Provider(904) 994-4533
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Peak Dermatology
- Doing business as
- Peak Dermatology Aesthetics and Wellness
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Innovative Dermatology Alliance Ca's NPI number?
- Innovative Dermatology Alliance Ca's National Provider Identifier (NPI) is 1083188221, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Dermatology Alliance Ca?
- Innovative Dermatology Alliance Ca is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Dermatology Alliance Ca located?
- Innovative Dermatology Alliance Ca's practice location on file with NPPES is 5530 Avenida De Los Robles, Visalia, CA 93291.
- What is Innovative Dermatology Alliance Ca's phone number?
- The practice phone number listed in the NPPES registry for Innovative Dermatology Alliance Ca is (559) 733-5050.
- Does Innovative Dermatology Alliance Ca accept Medicare?
- Innovative Dermatology Alliance Ca is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Dermatology Alliance Ca?
- The authorized official listed on Innovative Dermatology Alliance Ca's NPPES record is Christopher Rex, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Dermatology Alliance Ca's NPI active?
- Yes — Innovative Dermatology Alliance Ca's NPI (1083188221) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.