Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Advanced Dermatology Surgical and Medical Group Inc.

Dermatology Physician in Lakewood, CA · enumerated 2006 · authorized official Fredric Rosenberg, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154407856

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Registry record

Entity type Organization (Type 2)

Legal business name Advanced Dermatology Surgical and Medical Group Inc.

Practice address 3650 E South St, #306, Lakewood, CA, 90712

Phone (562) 633-6353

Fax (562) 633-4996

Enumeration date Oct 27, 2006

Last updated in NPPES Dec 2, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Fredric Rosenberg

Title Owner

Phone (562) 633-6353

Other identifiers

Identifier	Type	State	Issuer
GR0025890	Medicaid	CA	-
G21402	Other	CA	GREAT-WEST
4024334	Other	CA	AETNA
G21402	Other	CA	BLUE CROSS
ZZZ12556Z	Other	CA	BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Advanced Dermatology Surgical and Medical Group Inc.?

Advanced Dermatology Surgical and Medical Group Inc. is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

Providers at this address

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Prasad Chode Internal Medicine Physician · Lakewood, CA NPI 1194720847 Daisy Guevara Internal Medicine Physician · Lakewood, CA NPI 1396740932 Augustus Ohemeng Internal Medicine Physician · Lakewood, CA NPI 1982603890 Ramiro Rosero Family Medicine Physician · Lakewood, CA NPI 1467452367 Kartik Thaker Cardiovascular Disease Physician · Lakewood, CA NPI 1144207739 Isaac Eisenstein MD A Prof Corp Cardiovascular Disease Physician · Lakewood, CA NPI 1376598425 Shirish Patel Internal Medicine Physician · Lakewood, CA NPI 1487765376 Top Pharmacy, Inc Community/Retail Pharmacy · Lakewood, CA NPI 1174620553

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-02.