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Advanced Medical and Surgical Dermatology Corporation

Dermatology Physician in San Rafael, CA · enumerated 2011 · authorized official Anya Bandt, President.

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

National Provider Identifier

1720370166

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Medical and Surgical Dermatology Corporation
Practice address 1099 D St Ste 204, San Rafael, CA, 94901
Fax (415) 259-0133
Enumeration date May 4, 2011
Last updated in NPPES May 4, 2011

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License A65185 (CA) Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License A65186 (CA) Secondary
207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians · License A65186 (CA) Secondary
207NI0002X Clinical & Laboratory Dermatological Immunology Physician Allopathic & Osteopathic Physicians · License A65186 (CA) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License A65186 (CA) Secondary

Authorized official

Name Anya Bandt
Title President

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-04.