Clemens Esche, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C163030 Issued in CA

Practice address

5575 W Las Positas Blvd Ste 260
Pleasanton, CA 94588-5803

Phone

(925) 847-3020

Fax

(925) 954-1822

NPI assigned

Feb 8, 2007

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, CA2 enrollments

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 2

Specialty

Dermatology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Pacific Dermatology Institute

  • Dermatology Physician
  • Corona, CA
  • NPI 1740410182
  Medicare reassignment Care Compare group NPD
• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Dermatology

  Medicare reassignment NPD
• Dermatology Spa Med Inc

  • Dermatology Physician
  • Pismo Beach, CA
  • NPI 1356094676
  Medicare reassignment NPD
• Dermatology & Skin Surgery Center of York, LLC

  • MOHS-Micrographic Surgery Physician
  • York, PA
  • NPI 1447453170

  Dermatology

  Medicare reassignment NPD
• Cosulich Dermatology 2 LLC

  dba Cosulich Dermatology

  • Dermatology Physician
  • Wall Township, NJ
  • NPI 1578491015
  NPD
• Dignity Health

  dba St. Bernardine Medical Center

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  NPD (past)
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  NPD (past)
• NJ Certified Dermatology PC

  dba Dedicated Dermatology

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)
• Omni Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Darby, PA
  • NPI 1831236637
  NPD (past)
• Sanford Bismarck

  dba Sanford Medical Center

  • Psychiatric Hospital Unit
  • Bismarck, ND
  • NPI 1528144623
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1790826394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982454",
            "telephone_number": "925-945-7005",
            "fax_number": "925-954-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 W LAS POSITAS BLVD STE 260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885803",
            "telephone_number": "925-847-3020",
            "fax_number": "925-954-1822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 Hospital Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404124",
            "country_code": "US",
            "telephone_number": "650-962-4600",
            "fax_number": "925-954-1822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCHE",
        "first_name": "CLEMENS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-06-07",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C163030",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD448189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00752410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric T. Hisaka, M.D., Inc
• Sonia Elizabeth Erickson, DPM
• Melanie Simone Erlichman
• Ernest Cheng, D.O., PC
• Morgan Ashleigh Escalera
• Ogechukwu Whitney Esomonu
• Alyssa C Esquivel, CMT
• Mary Elizabeth Estakhri, MD
• Alora Estrada
• Jeremy Estrada

• Dermatology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.