Maven Dermatology Apc
NPI 1366124539 · Dermatology Physician · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maven Dermatology Apc is a Dermatology Physician organization in San Diego, CA (NPI 1366124539).
Provider details
- NPI number
- 1366124539
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jusleen Ahluwalia, Ceo(858) 736-9900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-08-07
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Frequently asked questions
- What is Maven Dermatology Apc's NPI number?
- Maven Dermatology Apc's National Provider Identifier (NPI) is 1366124539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maven Dermatology Apc?
- Maven Dermatology Apc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Maven Dermatology Apc located?
- Maven Dermatology Apc's practice location on file with NPPES is 3750 Convoy St Ste 155, San Diego, CA 92111-3739.
- What is Maven Dermatology Apc's phone number?
- The practice phone number listed in the NPPES registry for Maven Dermatology Apc is (858) 736-9900.
- Does Maven Dermatology Apc accept Medicare?
- Maven Dermatology Apc 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 Maven Dermatology Apc?
- The authorized official listed on Maven Dermatology Apc's NPPES record is Jusleen Ahluwalia, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maven Dermatology Apc's NPI active?
- Yes — Maven Dermatology Apc's NPI (1366124539) is active in the NPPES registry as of the last update on 2025-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.