Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology Spa Med Inc

Organization Dermatology Physician · NPI 1356094676

Dermatology Spa Med Inc provides Dermatology Physician services in Pismo Beach, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 James Way Ste 140
Pismo Beach, CA 93449-2874
Phone: (805) 574-1000
Fax: (805) 574-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1356094676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noel Cabezzas — Ceo · (661) 327-4499
NPI enumeratedJanuary 27, 2022
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address6000 Physicians Blvd Ste 210, Bakersfield, CA 93301-1215