East Bay Dermatology Medical Group Inc.
A Medicare group practice based in Milpitas, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2466515580), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2466515580
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090115000065 | CA | Part B Supplier - Clinic/Group Practice | 1447220215 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
East Bay Dermatology Medical Group Inc
dba Center for Dermatology Cosmetic & Laser Surgery
- Dermatology Physician
- Fremont, CA
- NPI 1447220215
-
East Bay Dermatology Medical Group Inc.
dba Center For Dermatology Cosmetic and Laser Surgery
- Specialist
- Milpitas, CA
- NPI 1467640284
Practice locations
- Fremont, CA1
- Milpitas, CA1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 97.67 of 100
- Quality
- 85.33
- Improvement activities
- 40
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (8).
-
Erik Stephen Cabral, M.D.
- MOHS-Micrographic Surgery Physician
- Ukiah, CA
- NPI 1023252350
-
Andrea Marie Caro, PA
- Physician Assistant
- Fremont, CA
- NPI 1700602810
-
Shurong Chang, M.D., PH.D.
- Dermatology Physician
- Sacramento, CA
- NPI 1770873804
-
Sunil S Dhawan, MD
- Dermatology Physician
- Fremont, CA
- NPI 1326018987
-
Jaspreet Gahunia
- Family Nurse Practitioner
- Milpitas, CA
- NPI 1891516332
-
Katherine Macauley Ligtenberg Given, MD, PHD
- Dermatology Physician
- Santa Rosa, CA
- NPI 1124476296
-
Olivia Danielle Martinez, FP-C
- Family Nurse Practitioner
- Fremont, CA
- NPI 1629490362
-
Tiffany Lam Nguyen, PA-C
- Physician Assistant
- Fremont, CA
- NPI 1932832714
-
Brittany West, PA-C
- Medical Physician Assistant
- Olympia, WA
- NPI 1568973931
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.