Dermatology Spa Med Inc
NPI 1356094676 · Dermatology Physician · Pismo Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Spa Med Inc is a Dermatology Physician organization in Pismo Beach, CA (NPI 1356094676).
Provider details
- NPI number
- 1356094676
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Noel Cabezzas, Ceo(661) 327-4499
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
4 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
- 2022-01-27
- Last updated
- 2022-01-27
- Certified
- 2022-01-27
Frequently asked questions
- What is Dermatology Spa Med Inc's NPI number?
- Dermatology Spa Med Inc's National Provider Identifier (NPI) is 1356094676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Spa Med Inc?
- Dermatology Spa Med Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Spa Med Inc located?
- Dermatology Spa Med Inc's practice location on file with NPPES is 300 James Way Ste 140, Pismo Beach, CA 93449-2874.
- What is Dermatology Spa Med Inc's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Spa Med Inc is (805) 574-1000.
- Does Dermatology Spa Med Inc accept Medicare?
- Dermatology Spa Med 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 Dermatology Spa Med Inc?
- The authorized official listed on Dermatology Spa Med Inc's NPPES record is Noel Cabezzas, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Spa Med Inc's NPI active?
- Yes — Dermatology Spa Med Inc's NPI (1356094676) is active in the NPPES registry as of the last update on 2022-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.