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 is a Dermatology Physician 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