Advance Dermatology & Laser Medical Center Inc.
NPI 1396849576 · Procedural Dermatology Physician · Marina Del Rey, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advance Dermatology & Laser Medical Center Inc. is a Procedural Dermatology Physician organization in Marina Del Rey, CA (NPI 1396849576).
Provider details
- NPI number
- 1396849576
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nita Patel, Owner(310) 577-7544
- License
- G076981 (CA)
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
20 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
- 2006-09-11
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Frequently asked questions
- What is Advance Dermatology & Laser Medical Center Inc.'s NPI number?
- Advance Dermatology & Laser Medical Center Inc.'s National Provider Identifier (NPI) is 1396849576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advance Dermatology & Laser Medical Center Inc.?
- Advance Dermatology & Laser Medical Center Inc. is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advance Dermatology & Laser Medical Center Inc. located?
- Advance Dermatology & Laser Medical Center Inc.'s practice location on file with NPPES is 4560 Admiralty Way Ste 101, Marina Del Rey, CA 90292-5424.
- What is Advance Dermatology & Laser Medical Center Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Advance Dermatology & Laser Medical Center Inc. is (310) 577-7544.
- Does Advance Dermatology & Laser Medical Center Inc. accept Medicare?
- Advance Dermatology & Laser Medical Center 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 Advance Dermatology & Laser Medical Center Inc.?
- The authorized official listed on Advance Dermatology & Laser Medical Center Inc.'s NPPES record is Nita Patel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advance Dermatology & Laser Medical Center Inc.'s NPI active?
- Yes — Advance Dermatology & Laser Medical Center Inc.'s NPI (1396849576) is active in the NPPES registry as of the last update on 2022-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.