OrganizationActive
East Bay Dermatology Medical Group Inc.
NPI 1467640284 · Specialist · Milpitas, CA
East Bay Dermatology Medical Group Inc. is a Specialist organization in Milpitas, CA (NPI 1467640284).
Provider details
- NPI number
- 1467640284
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sunil Dhawan, Secretary of the Corporation(408) 957-7676
- License
- G53340 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1158 Jacklin Rd
Milpitas, CA 95035-3700
Phone: (408) 957-7676
Fax: (408) 942-1342
Street-level locationGet directions
Mailing address
2557 Mowry Ave Ste 34
Fremont, CA 94538-1614
Other names (DBA / former)
- Doing business as
- Center for Dermatology Cosmetic and Laser Surgery
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2007-10-05
Frequently asked questions
- What is East Bay Dermatology Medical Group Inc.'s NPI number?
- East Bay Dermatology Medical Group Inc.'s National Provider Identifier (NPI) is 1467640284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Bay Dermatology Medical Group Inc.?
- East Bay Dermatology Medical Group Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is East Bay Dermatology Medical Group Inc. located?
- East Bay Dermatology Medical Group Inc.'s practice location on file with NPPES is 1158 Jacklin Rd, Milpitas, CA 95035-3700.
- What is East Bay Dermatology Medical Group Inc.'s phone number?
- The practice phone number listed in the NPPES registry for East Bay Dermatology Medical Group Inc. is (408) 957-7676.
- Who is the authorized official for East Bay Dermatology Medical Group Inc.?
- The authorized official listed on East Bay Dermatology Medical Group Inc.'s NPPES record is Sunil Dhawan, Secretary of the Corporation. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Bay Dermatology Medical Group Inc.'s NPI active?
- Yes — East Bay Dermatology Medical Group Inc.'s NPI (1467640284) is active in the NPPES registry as of the last update on 2007-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.