Advanced Dermatology Surgical and Medical Group Inc.
NPI 1154407856 · Dermatology Physician · Lakewood, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology Surgical and Medical Group Inc. is a Dermatology Physician organization in Lakewood, CA (NPI 1154407856).
Provider details
- NPI number
- 1154407856
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fredric Rosenberg, Owner(562) 633-6353
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Advanced Dermatology Surgical and Medical Group Inc.'s NPI number?
- Advanced Dermatology Surgical and Medical Group Inc.'s National Provider Identifier (NPI) is 1154407856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology Surgical and Medical Group Inc.?
- Advanced Dermatology Surgical and Medical Group Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology Surgical and Medical Group Inc. located?
- Advanced Dermatology Surgical and Medical Group Inc.'s practice location on file with NPPES is 3650 E South St, Lakewood, CA 90712.
- What is Advanced Dermatology Surgical and Medical Group Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology Surgical and Medical Group Inc. is (562) 633-6353.
- Does Advanced Dermatology Surgical and Medical Group Inc. accept Medicare?
- Advanced Dermatology Surgical and Medical Group Inc. 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 Advanced Dermatology Surgical and Medical Group Inc.?
- The authorized official listed on Advanced Dermatology Surgical and Medical Group Inc.'s NPPES record is Fredric Rosenberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology Surgical and Medical Group Inc.'s NPI active?
- Yes — Advanced Dermatology Surgical and Medical Group Inc.'s NPI (1154407856) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.