Pacific Dermatology Institute
NPI 1740410182 · Dermatology Physician · Corona, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Dermatology Institute is a Dermatology Physician organization in Corona, CA (NPI 1740410182).
Provider details
- NPI number
- 1740410182
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Mudge, President(951) 354-2220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
16 documented practice locations
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
Additional practice locations (15)
- 18523 Corwin Rd Ste GApple Valley, CA 92307-2300Phone: (760) 242-3376
- 2140 Grand Ave Ste 260Chino Hills, CA 91709-6806Phone: (909) 464-9800
- 16465 Sierra Lakes Pkwy Ste 275Fontana, CA 92336-1263Phone: (909) 279-1010
- 11340 Mountain View Ave Ste B1Loma Linda, CA 92354-3884Phone: (909) 918-4000Fax: (909) 918-4110
- 25405 Hancock Ave Ste 200Murrieta, CA 92562-5978Phone: (951) 200-2090
- 240 Newport Center Dr Ste 105Suite 105Newport Beach, CA 92660Phone: (951) 354-2220Fax: (951) 354-2218
- 74090 El Paseo Ste 103Palm Desert, CA 92260-4135Phone: (760) 341-8244
- 1801 E Tahquitz Canyon Way Ste 103Palm Springs, CA 92262-7121Phone: (760) 537-5561Fax: (760) 537-5564
Registry dates
- Enumerated
- 2009-07-20
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Frequently asked questions
- What is Pacific Dermatology Institute's NPI number?
- Pacific Dermatology Institute's National Provider Identifier (NPI) is 1740410182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Dermatology Institute?
- Pacific Dermatology Institute is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pacific Dermatology Institute located?
- Pacific Dermatology Institute's practice location on file with NPPES is 770 Magnolia Ave Ste 1h, Corona, CA 92879-3121.
- What is Pacific Dermatology Institute's phone number?
- The practice phone number listed in the NPPES registry for Pacific Dermatology Institute is (951) 734-8989.
- Does Pacific Dermatology Institute accept Medicare?
- Pacific Dermatology Institute 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 Pacific Dermatology Institute?
- The authorized official listed on Pacific Dermatology Institute's NPPES record is Bradley Mudge, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Dermatology Institute's NPI active?
- Yes — Pacific Dermatology Institute's NPI (1740410182) is active in the NPPES registry as of the last update on 2025-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.