Organization Active NPI

Monterey Skin Cancer Institute

  • Dermatology Physician
  • Monterey, CA
National Provider Identifier
1043696925
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G61505 Issued in CA
Legal business name
MONTEREY SKIN CANCER INSTITUTE
Practice address
798 Cass St Ste 204
Monterey, CA 93940-2918
Phone
(831) 233-6474
Fax
(831) 233-6418
NPI assigned
Aug 3, 2015
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Howard A Oriba, MDNPI 1891781530
Title
Ceo
Phone
(831) 233-6474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G61505 CA Primary

Addresses

Primary practice location

798 Cass St Ste 204
Monterey, CA 93940-2918

Mailing address

798 Cass St Ste 204
Monterey, CA 93940-2918
Phone (831) 233-6474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160115002186 CA Part B Supplier - Clinic/Group Practice 9032412564 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2112472Monterey Skin Cancer Institute798 Cass St, Ste 204, Monterey, CA 93940ComplianceSep 26, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1043696925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 CASS ST STE 204",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402918",
            "telephone_number": "831-233-6474",
            "fax_number": "831-233-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 CASS ST STE 204",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402918",
            "telephone_number": "831-233-6474",
            "fax_number": "831-233-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY SKIN CANCER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ORIBA",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-233-6474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G61505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.