DR. SHEILA GAYLE WIDYOLAR (NPI# 1174527105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174527105 |
| Entity Type | Individual |
| Full Name | DR. SHEILA GAYLE WIDYOLAR |
| Credential | MD |
| Practice Address |
23961 Calle De Magdalena Suite 403 Laguna Hills CA 92653-3664 |
| Practice Telephone | 9494523814 |
| Practice Fax Number | 9498551007 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G25056 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G250560 | 05 |
| Street Address |
23961 CALLE DE MAGDALENA SUITE 403 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730301334 | Ming H. Robinson Md Inc | Specialist | 23961 Calle De Magdalena, 347, Laguna Hills, CA 92653-3665 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689986374 | Jennifer Channual | Dermatology | 23521 Paseo De Valencia Ste 102, Laguna Hills, CA 92653 | 2010-07-09 |
| 1154438554 | Edward W.b. Jeffes IIi | Dermatology | 26081 Merit Circle #109, Laguna Hills, CA 92653-7017 | 2006-08-23 |
| 1245206705 | Rollin M Green | Dermatology | 24911 Health Center Drive, Laguna Hills, CA 92653-3633 | 2006-02-24 |
| 1609872126 | Michelle M. Algarin | Dermatology | 23961 Magdalena, #520, Laguna Hills, CA 92653 | 2005-06-21 |
| 1710485982 | Jennifer Channual Md Inc | Dermatology | 23521 Paseo De Valencia Ste 102, Laguna Hills, CA 92653-3126 | 2018-01-23 |
| 1215382759 | Fleming Inc | Dermatology | 23141 Moulton Pkwy, Suite 110, Laguna Hills, CA 92653-1241 | 2016-05-03 |
| 1881012656 | Katherine Bao-shian Lee, M.d., A Professional Corporation | Dermatology | 24431 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653-7641 | 2014-03-30 |
| 1265693691 | Katherine Bao-shian Lee | Dermatology | 24431 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653-7641 | 2008-06-18 |
| 1780771162 | Michael Alan Wong | Dermatology | 24953 Paseo De Valencia, Suite 12b, Laguna Hills, CA 92653 | 2006-10-06 |
| 1841259066 | Daniel K Mckenzie | Dermatology | 24221 Calle De La Louisa, Suite 400, Laguna Hills, CA 92653-7638 | 2006-03-18 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.