CPP 435Skin PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CPP 435SKIN PC

Practice address

1125 E Spruce Ave Ste 207
Fresno, CA 93720-3390

Phone

(559) 435-7546

Fax

(559) 435-4976

NPI assigned

Apr 17, 2025

Organization subpart

No

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

Authorized official

Name

Jessica N Palmer

Title

Billing Manager

Phone

(559) 892-2030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen L Behr, MD

  • Dermatology Physician
  • Fresno, CA
  • NPI 1104812452
  Medicare reassignment Care Compare group NPD
• Julie Renee Caldwell, F.N.P

  • Nurse Practitioner
  • Fresno, CA
  • NPI 1740290568
  Medicare reassignment Care Compare group NPD
• Marissa Carrillo, PA

  • Physician Assistant
  • Fresno, CA
  • NPI 1538148929
  Medicare reassignment Care Compare group NPD
• Mansee Pragnesh Desai, MD

  • Dermatology Physician
  • Fresno, CA
  • NPI 1346701398
  Medicare reassignment Care Compare group NPD
• Regine Junie Mathieu, MD

  • Dermatology Physician
  • Fresno, CA
  • NPI 1285130401

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Chia C Yeh-to, MD

  • Procedural Dermatology Physician
  • Fresno, CA
  • NPI 1528076742
  Medicare reassignment Care Compare group NPD
• Li Liu, MD

  • Radiation Oncology Physician
  • Fresno, CA
  • NPI 1619946753
  NPD
• Leslie Anne Storey, MD

  • MOHS-Micrographic Surgery Physician
  • Fresno, CA
  • NPI 1043313133

  Dermatology

  NPD

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1821884610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E SPRUCE AVE STE 207",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203390",
            "telephone_number": "559-435-7546",
            "fax_number": "559-435-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E SPRUCE AVE STE 207",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203390",
            "telephone_number": "559-435-7546",
            "fax_number": "559-435-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPP 435SKIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "559-892-2030"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Cox, RN
• Talacey Cox, MFT INTERN
• Taylor Courteney Cox, P.T.A.
• Christian Coye
• Virginia Coyle
• Karen Jo Craft, PSY.D.
• Craig R Mundy DDS Inc
• Kaira Crain
• Nathan Allen Crain, CI40861123
• Jeff Crane, PHD, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.