Advanced Medical and Surgical Dermatology Corporation
NPI 1720370166 · Dermatology Physician · San Rafael, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Medical and Surgical Dermatology Corporation is a Dermatology Physician organization in San Rafael, CA (NPI 1720370166).
Provider details
- NPI number
- 1720370166
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anya Bandt, President(415) 259-0131
- License
- A65186 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-05-04
- Last updated
- 2011-05-04
Frequently asked questions
- What is Advanced Medical and Surgical Dermatology Corporation's NPI number?
- Advanced Medical and Surgical Dermatology Corporation's National Provider Identifier (NPI) is 1720370166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Medical and Surgical Dermatology Corporation?
- Advanced Medical and Surgical Dermatology Corporation is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Medical and Surgical Dermatology Corporation located?
- Advanced Medical and Surgical Dermatology Corporation's practice location on file with NPPES is 1099 D St Ste 204, San Rafael, CA 94901-2893.
- What is Advanced Medical and Surgical Dermatology Corporation's phone number?
- The practice phone number listed in the NPPES registry for Advanced Medical and Surgical Dermatology Corporation is (415) 259-0131.
- Does Advanced Medical and Surgical Dermatology Corporation accept Medicare?
- Advanced Medical and Surgical Dermatology Corporation 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 Advanced Medical and Surgical Dermatology Corporation?
- The authorized official listed on Advanced Medical and Surgical Dermatology Corporation's NPPES record is Anya Bandt, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Medical and Surgical Dermatology Corporation's NPI active?
- Yes — Advanced Medical and Surgical Dermatology Corporation's NPI (1720370166) is active in the NPPES registry as of the last update on 2011-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.