NEWPORT COAST DERMATOLOGY (NPI# 1063608107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063608107 |
| Entity Type | Organization |
| Organization Name | NEWPORT COAST DERMATOLOGY |
| Practice Address |
3991 Macarthur Blvd Suite 228 Newport Beach CA 92660-3058 |
| Practice Telephone | 9498630988 |
| Practice Fax Number | 9498630088 |
| Mailing Telephone | 9498630988 |
| Mailing Fax Number | 9498630088 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. GRACE LIU (DR.) |
| Authorized Official Telephone | 9498630988 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
A61446 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3991 MACARTHUR BLVD SUITE 228 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477564128 | Grace S Liu | Dermatology | 3991 Macarthur Blvd, Suite 228, Newport Beach, CA 92660-3058 | 2006-08-10 |
| 1265978647 | Laura Osmanski | Nurse Practitioner | 3991 Macarthur Blvd, Newport Beach, CA 92660 | 2017-01-10 |
| 1487007530 | Kristen Yuschak | Nurse Practitioner | 3991 Macarthur Blvd, Suite 200, Newport Beach, CA 92660-3009 | 2016-07-13 |
| 1386033017 | Lester Robertson | Physician Assistant | 3991 Macarthur Blvd, Suite 320, Newport Beach, CA 92660-3009 | 2015-01-19 |
| 1366831174 | Pacific Center for Plastic Surgery | Clinic/Center | 3991 Macarthur Blvd, Suite 320, Newport Beach, CA 92660-3009 | 2015-01-16 |
| 1336549989 | Maria Huang | Family Medicine | 3991 Macarthur Blvd, Ste 228, Newport Beach, CA 92660-3009 | 2014-09-02 |
| 1598090052 | Larry S Nichter Md & Jed H Horowitz Md | Plastic Surgery | 3991 Macarthur Blvd, Suite 320, Newport Beach, CA 92660-3009 | 2009-10-15 |
| 1861656563 | Grace Liu, Md Inc. | Dermatology | 3991 Macarthur Blvd, Ste. 228, Newport Beach, CA 92660-3009 | 2008-07-11 |
| 1780862375 | Julio Pinto Duarte | Anesthesiology | 3991 Macarthur Blvd, Suite 200, Newport Beach, CA 92660-3009 | 2008-02-06 |
| 1891830022 | Daniel C. Huang D.d.s., Inc. | Dentist | 3991 Macarthur Blvd, Suite 228, Newport Beach, CA 92660-3058 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740410182 | Pacific Dermatology Institute | Dermatology | 240 Newport Center Dr Ste 105, Suite 105, Newport Beach, CA 92660 | 2009-07-20 |
| 1689711244 | Advanced Skincare Medcenter Inc. | Dermatology | 369 San Miguel Dr Ste 235, Newport Beach, CA 92660-7816 | 2007-01-31 |
| 1477564128 | Grace S Liu | Dermatology | 3991 Macarthur Blvd, Suite 228, Newport Beach, CA 92660-3058 | 2006-08-10 |
| 1700035946 | Adam M. Rotunda, M.d., A Professional Corporation | Dermatology | 1100 Quail St, Suite 102, Newport Beach, CA 92660-2701 | 2008-09-11 |
| 1861656563 | Grace Liu, Md Inc. | Dermatology | 3991 Macarthur Blvd, Ste. 228, Newport Beach, CA 92660-3009 | 2008-07-11 |
| 1255590808 | Gregory Alan. Bartlow, M.d., Inc. | Dermatology | 1441 Avocado Ave, 806, Newport Beach, CA 92660-7721 | 2008-06-07 |
| 1124166400 | Dermatology & Laser Clinic, Inc. | Dermatology | 401 Old Newport Blvd, Suite 102, Newport Beach, CA 92663-4269 | 2007-02-01 |
| 1497706113 | Tanya Jeanette Foreman | Dermatology | 400 Newport Center Dr, Suite 702, Newport Beach, CA 92660-7601 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173936 | Mill Valley Dermatology, Inc | Dermatology | 655 Redwood Hwy Frontage Rd Ste 100, Mill Valley, CA 94941-3031 | 2020-07-31 |
| 1710508874 | Zhe Hou, M.d., Ph.d., A Professional Corporation | Dermatology | 3000 E Imperial Hwy Ste 150, Brea, CA 92821-6782 | 2020-04-29 |
| 1073152112 | Agape Dermatology PC | Dermatology | 18800 Main St Ste 111, Huntington Beach, CA 92648-1717 | 2020-01-06 |
| 1497392492 | Pacifica Dermatology | Dermatology | 2460 N Ponderosa Dr Ste A117, Camarillo, CA 93010-2468 | 2019-12-09 |
| 1518447689 | Razieh Soltani Arabshahi Md Inc | Dermatology | 960 E Green St Ste 330, Pasadena, CA 91106-2401 | 2018-08-18 |
| 1811497928 | Laca Dermatology, Inc | Dermatology | 4955 Van Nuys Blvd Ste 516, Sherman Oaks, CA 91403-1832 | 2018-02-15 |
| 1427509959 | Northern California Medical Assoc Inc | Dermatology | 555 S Dora St Ste B, Ukiah, CA 95482-5424 | 2016-10-19 |
| 1376091553 | Integrated Dermatology of Mission Viejo, Apmc | Dermatology | 26691 Plaza Ste 230, Mission Viejo, CA 92691-6300 | 2016-09-15 |
| 1164835518 | Laila Elkeeb, M.d., Inc | Dermatology | 242 Wicker, Irvine, CA 92618-1170 | 2014-06-03 |
| 1518303924 | Christine Shaver | Dermatology | 1301 20th St Ste 570, Santa Monica, CA 90404-2118 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.