Active NPI
California Dermatology and Mohs Surgery Specialists Inc
- Dermatology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CALIFORNIA DERMATOLOGY AND MOHS SURGERY SPECIALISTS INC
- Practice address
- 50 Bellefontaine St Ste 202
Pasadena, CA 91105-3132 - Phone
- (818) 636-9039
- NPI assigned
- Sep 16, 2022
- Last updated
- Mar 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mariah Ginn
- Title
- Authorized Credentialing Specialist
- Phone
- (805) 392-5138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
50 Bellefontaine St Ste 202
Pasadena, CA 91105-3132
Mailing address
50 Bellefontaine St Ste 202
Pasadena, CA 91105-3132
Other practice location 1
544 N Glendale Ave Ste B
Glendale, CA 91206-3311
Phone (818) 654-4791
Other practice location 2
120 Bellefontaine St
Pasadena, CA 91105-3102
Phone (626) 654-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2278477 | California Dermatology and Mohs Surgery | Compliance | May 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
50 Bellefontaine St
Ste 202
Pasadena, CA 91105
Phone (626) 654-3376
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1023443918
-
- Dermatology Physician
- Pasadena, CA
- NPI 1447679865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774137600000",
"number": "1881316701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BELLEFONTAINE ST STE 202",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BELLEFONTAINE ST STE 202",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053132",
"telephone_number": "818-636-9039"
}
],
"practiceLocations": [
{
"address_1": "544 N Glendale Ave Ste B",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912063311",
"country_code": "US",
"telephone_number": "818-654-4791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Bellefontaine St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911053102",
"country_code": "US",
"telephone_number": "626-654-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CALIFORNIA DERMATOLOGY AND MOHS SURGERY SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-16",
"last_updated": "2026-03-22",
"certification_date": "2026-03-22",
"status": "A",
"authorized_official_last_name": "GINN",
"authorized_official_first_name": "MARIAH",
"authorized_official_title_or_position": "AUTHORIZED CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "805-392-5138"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- Earvin Cales
- John Peter Cali, D.C.
- California Cancer Specialists Medical Group (City of Hope Medical Group)
- California Cardiovascular Care Medical Group Inc
- California Convalescent Hospital of Pasadena Inc
- California Drug Consultants
- California Drug Counseling
- California Drug Counseling, Inc.
- California Eye Specialists Medical Group, Inc
- California International Nursing Services, Inc. (Dedicated Home Health Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; 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.