Fred F. Soeprono, M.D., Inc.
NPI 1346441276 · Dermatology Physician · Redlands, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fred F. Soeprono, M.D., Inc. is a Dermatology Physician organization in Redlands, CA (NPI 1346441276).
Provider details
- NPI number
- 1346441276
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ronnie Dawood, Physician(949) 367-1115
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
2 documented practice locations
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)
- Other name
- Advanced Dermatology & Laser Center
- Doing business as
- Advanced Dermatology and Laser Center
Additional practice locations (1)
- 7095 Indiana Ave Ste 210Riverside, CA 92506-4159Phone: (951) 218-9910Fax: (909) 792-8660
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Frequently asked questions
- What is Fred F. Soeprono, M.D., Inc.'s NPI number?
- Fred F. Soeprono, M.D., Inc.'s National Provider Identifier (NPI) is 1346441276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fred F. Soeprono, M.D., Inc.?
- Fred F. Soeprono, M.D., Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Fred F. Soeprono, M.D., Inc. located?
- Fred F. Soeprono, M.D., Inc.'s practice location on file with NPPES is 255 Terracina Blvd, Redlands, CA 92373-4870.
- What is Fred F. Soeprono, M.D., Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fred F. Soeprono, M.D., Inc. is (909) 792-8600.
- Does Fred F. Soeprono, M.D., Inc. accept Medicare?
- Fred F. Soeprono, M.D., 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 Fred F. Soeprono, M.D., Inc.?
- The authorized official listed on Fred F. Soeprono, M.D., Inc.'s NPPES record is Ronnie Dawood, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fred F. Soeprono, M.D., Inc.'s NPI active?
- Yes — Fred F. Soeprono, M.D., Inc.'s NPI (1346441276) is active in the NPPES registry as of the last update on 2021-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.