Lux Dermatology – Dermatology Physician, NPI 1245782291
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Lux Dermatology
3827 N 10TH ST STE 305
MCALLEN, TX 785011745
Phone: (559) 803-0748
Fax: (559) 803-0711
Type: Mailing
325 MALL DR STE 111
HANFORD, CA 932305950
Phone: (559) 583-7546
Fax: (559) 583-6062
Type: Location
3827 N 10th St Ste 305
McAllen, TX 785011745
Phone: (956) 682-9894
Fax: (956) 682-9275
Type: Location
573 W Putnam Ave
Porterville, CA 932573270
Phone: (559) 781-1812
Fax: (559) 781-3852
Type: Location
1337 S Lovers Ln Ste D
Visalia, CA 932925249
Phone: (559) 627-9901
Fax: (559) 627-9901
Type: Location
5757 Pacific Ave Ste 228
Stockton, CA 952075159
Phone: (209) 490-5050
Fax: (209) 779-6211
Type: Location
296 Cottage Ave
Manteca, CA 953364942
Phone: (209) 624-7006
Fax: (209) 554-4601
Type: Location
653 N Town Center Dr Ste 512
Las Vegas, NV 891440519
Phone: (702) 796-7546
Fax: (702) 869-6146
Type: Location
9500 Stockdale Hwy Ste 101
Bakersfield, CA 933113621
Phone: (661) 541-2017
Fax: (661) 535-2521
Type: Location
1075 Roberta Ln Ste 102
Sparks, NV 894311893
Phone: (775) 209-7065
Fax: (775) 636-7635
Type: Location
2843 Saint Rose Pkwy Ste 110
Henderson, NV 890524814
Phone: (702) 844-6788
Fax: (725) 213-5450
Type: Location
5333 Hollister Ave Ste 105
Santa Barbara, CA 931113309
Phone: (805) 770-8400
Fax: (805) 770-8402
Type: Location
West Pueblo Street, Santa Barbara, Santa Barbara County, California, 93101, United States
SANTA BARBARA, CA 931056812
Phone: (805) 770-8400
Fax: (805) 770-8402
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
3
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20161130001172 | O | Clinic/Group Practice | CA | 2023-12-31 |
| O20170306002333 | O | Clinic/Group Practice | NV | 2024-04-30 |
| O20200330003833 | O | Clinic/Group Practice | TX | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78501)
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