Accredited Dermatology Medical Clinic Inc
NPI 1871697136 · Dermatology Physician · Fullerton, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Accredited Dermatology Medical Clinic Inc is a Dermatology Physician organization in Fullerton, CA (NPI 1871697136).
Provider details
- NPI number
- 1871697136
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patrick Dahl, Physician(714) 525-3500
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
19 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
- 2006-09-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Accredited Dermatology Medical Clinic Inc's NPI number?
- Accredited Dermatology Medical Clinic Inc's National Provider Identifier (NPI) is 1871697136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Accredited Dermatology Medical Clinic Inc?
- Accredited Dermatology Medical Clinic Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Accredited Dermatology Medical Clinic Inc located?
- Accredited Dermatology Medical Clinic Inc's practice location on file with NPPES is 301 W Bastanchury Road, Fullerton, CA 92835.
- What is Accredited Dermatology Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Accredited Dermatology Medical Clinic Inc is (714) 525-3500.
- Does Accredited Dermatology Medical Clinic Inc accept Medicare?
- Accredited Dermatology Medical Clinic 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 Accredited Dermatology Medical Clinic Inc?
- The authorized official listed on Accredited Dermatology Medical Clinic Inc's NPPES record is Patrick Dahl, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Accredited Dermatology Medical Clinic Inc's NPI active?
- Yes — Accredited Dermatology Medical Clinic Inc's NPI (1871697136) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.