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

Jafar Koupaie, MD

Individual provider Procedural Dermatology Physician · NPI 1508940644

Jafar Koupaie, MD is a Dermatology in Riverside, California. Qualified in 1970, 56 years ago. Practices with Advanced Dermatology and Skin Cancer Specialists, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
56
Licensed in
CA, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9889 Magnolia Ave Ste A
Riverside, CA 92503-3581
Phone: (951) 566-5634
Show map & directions

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

Additional practice locations (1)

  • 95 Washington St, Canton, MA 02021-4006 — (781) 821-2888

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence C51581 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 54177 (MA)

Record details

NPI number1508940644
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice Advanced Dermatology And Skin Cancer Specialists — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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