El Segundo Dermatology, Inc.
NPI 1619351707 · Specialist · El Segundo, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
El Segundo Dermatology, Inc. is a Specialist organization in El Segundo, CA (NPI 1619351707).
Provider details
- NPI number
- 1619351707
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Brenda Fellman, Practice Manager(310) 906-2788
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Gardena Dermatology
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Frequently asked questions
- What is El Segundo Dermatology, Inc.'s NPI number?
- El Segundo Dermatology, Inc.'s National Provider Identifier (NPI) is 1619351707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is El Segundo Dermatology, Inc.?
- El Segundo Dermatology, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is El Segundo Dermatology, Inc. located?
- El Segundo Dermatology, Inc.'s practice location on file with NPPES is 713 N Douglas St., El Segundo, CA 90245.
- What is El Segundo Dermatology, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for El Segundo Dermatology, Inc. is (310) 906-2788.
- Does El Segundo Dermatology, Inc. accept Medicare?
- El Segundo Dermatology, 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 El Segundo Dermatology, Inc.?
- The authorized official listed on El Segundo Dermatology, Inc.'s NPPES record is Brenda Fellman, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is El Segundo Dermatology, Inc.'s NPI active?
- Yes — El Segundo Dermatology, Inc.'s NPI (1619351707) is active in the NPPES registry as of the last update on 2022-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.