Individual provider Active NPI

Luis Alberto Dehesa, M.D.

  • Dermatology Physician
  • Clovis, CA
National Provider Identifier
1629412259
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A142134 Issued in CA
Practice address
978 N Temperance Ave
Clovis, CA 93611-8606
Phone
(559) 951-9000
Fax
(559) 234-6334
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A142134 CA Primary

Addresses

Primary practice location

978 N Temperance Ave
Clovis, CA 93611-8606

Mailing address

978 N Temperance Ave
Clovis, CA 93611-8606
Phone (559) 951-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720001816 CA Practitioner - Dermatology 3870886443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgar S. Macias, M.D., IncGroup PAC ID 2567630551, 13 clinicians
Dehesa Dermatology IncGroup PAC ID 6002396900, 5 clinicians

Practice addresses (Care Compare)

7115 N Chestnut Ave
Suite 101
Fresno, CA 93720-0361
Phone (559) 431-2397

978 N Temperance Ave
Clovis, CA 93611-8606
Phone (559) 307-9155

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
76.71
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision100
Removal of skin lesions1068
Removal of skin cancer410
Removal or shaving of skin growth1-10
Skin biopsy546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A142134CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Spa Med Inc Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Dehesa Dermatology Inc Dermatology CurrentSince Dec 6, 2025 Accepting new patients
Edgar S. Macias, M.D., Inc Dermatology CurrentSince May 15, 2025 Accepting new patients
Dehesa Dermatology Inc CurrentSince Dec 6, 2025 Accepting new patients
Dignity Health PastSince Jul 1, 2025 Accepting new patients

Locations

6000 Physicians Blvd
Ste 210
Bakersfield, CA 93301
Phone (661) 325-9312

978 N Temperance Ave
Clovis, CA 93611
Phone (559) 307-9155

7115 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-2397

300 James Way
Ste 140
Pismo Beach, CA 93449
Phone (805) 574-1000

120 N Miller St
Bldg Bc
Santa Maria, CA 93454
Phone (805) 739-0033

120 N Miller St
Ste C
Santa Maria, CA 93454
Phone (805) 473-9735

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1629412259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 N TEMPERANCE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118606",
            "telephone_number": "559-951-9000",
            "fax_number": "559-234-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 N TEMPERANCE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118606",
            "telephone_number": "559-951-9000",
            "fax_number": "559-234-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHESA",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A142134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.