Greenbrae Dermatology, a Medical Corporation
NPI 1174898654 · Dermatology Physician · Greenbrae, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Greenbrae Dermatology, a Medical Corporation is a Dermatology Physician organization in Greenbrae, CA (NPI 1174898654).
Provider details
- NPI number
- 1174898654
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lucretia Lewitt, Practice Manager(415) 925-0550
- License
- A97783 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-03-15
- Last updated
- 2015-06-30
Frequently asked questions
- What is Greenbrae Dermatology, a Medical Corporation's NPI number?
- Greenbrae Dermatology, a Medical Corporation's National Provider Identifier (NPI) is 1174898654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greenbrae Dermatology, a Medical Corporation?
- Greenbrae Dermatology, a Medical Corporation is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Greenbrae Dermatology, a Medical Corporation located?
- Greenbrae Dermatology, a Medical Corporation's practice location on file with NPPES is 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015.
- What is Greenbrae Dermatology, a Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Greenbrae Dermatology, a Medical Corporation is (415) 925-0550.
- Does Greenbrae Dermatology, a Medical Corporation accept Medicare?
- Greenbrae Dermatology, a Medical Corporation 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 Greenbrae Dermatology, a Medical Corporation?
- The authorized official listed on Greenbrae Dermatology, a Medical Corporation's NPPES record is Lucretia Lewitt, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greenbrae Dermatology, a Medical Corporation's NPI active?
- Yes — Greenbrae Dermatology, a Medical Corporation's NPI (1174898654) is active in the NPPES registry as of the last update on 2015-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.