BLUE HARBOR DERMATOLOGY INC (NPI# 1962829457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962829457 |
| Entity Type | Organization |
| Organization Name | BLUE HARBOR DERMATOLOGY INC |
| Practice Address |
1501 Superior Ave Suite 115 Newport Beach CA 92663-3600 |
| Practice Telephone | 2143952221 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | KEVIN BELASCO (PHYSICIAN) |
| Authorized Official Telephone | 8008282012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 20A12076 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1501 SUPERIOR AVE SUITE 115 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458711 | Stanley Rosenblatt | Internal Medicine | 1501 Superior Ave, Ste 111, Newport Beach, CA 92663-3600 | 2005-06-22 |
| 1336799519 | Rutland Medical Group | Internal Medicine | 1501 Superior Ave, Newport Beach, CA 92663-3600 | 2019-09-19 |
| 1083000244 | Dena Amr Md Inc | Surgery | 1501 Superior Ave, Suite 202, Newport Beach, CA 92663-3600 | 2015-04-14 |
| 1801289400 | Liviu Gold | Dentist | 1501 Superior Ave, 100, Newport Beach, CA 92663-3600 | 2015-03-06 |
| 1932536927 | Melvin I Marks | General Practice | 1501 Superior Ave, Suite #111 & 311, Newport Beach, CA 92663-3600 | 2013-10-04 |
| 1194150813 | Miller Cosmetics Inc. A Medical Corporation | Otolaryngology | 1501 Superior Ave, Suite 301, Newport Beach, CA 92663-3600 | 2013-09-12 |
| 1164765020 | Lauren Ann Messelbeck | Acupuncturist | 1501 Superior Ave, Suite 300, Newport Beach, CA 92663-3600 | 2013-03-28 |
| 1598021248 | Radin Cardiovascular Medical Group Inc | Internal Medicine | 1501 Superior Ave, #312, Newport Beach, CA 92663-3600 | 2012-04-06 |
| 1306177977 | Jocelyn Bennett Craig, Md, Corporation | Obstetrics & Gynecology | 1501 Superior Ave, Suite 201, Newport Beach, CA 92663-3600 | 2010-01-21 |
| 1649509472 | Anita P Ling Dds Inc | Dentist | 1501 Superior Ave, 200, Newport Beach, CA 92663-3600 | 2009-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1588917934 | Michael Patrick O'brien | Dermatology | 623 Via Lido Nord, Newport Beach, CA 92663-5549 | 2012-10-23 |
| 1457614919 | Donna Tran | Dermatology | 495 Old Newport Blvd Ste 200, Newport Beach, CA 92663-4204 | 2012-06-20 |
| 1902171341 | Dana Lee-anne Ellis | Dermatology | 400 Newport Center Dr Ste 702, Newport Beach, CA 92660-7669 | 2012-03-19 |
| 1417228644 | Monica Bonakdar | Dermatology | 20321 Irvine Ave Ste F3, Newport Beach, CA 92660-0269 | 2012-01-19 |
| 1447531017 | Samreen Choudhry | Dermatology | 1617 Westcliff Dr Ste 214, Newport Beach, CA 92660 | 2011-09-08 |
| 1578736724 | Kevin Tate Belasco | Dermatology | 1501 Superior Ave Ste 115, Newport Beach, CA 92663-3606 | 2008-04-09 |
| 1679769954 | Zenovia Hatziris Gabriel | Dermatology | 359 San Miguel Dr Ste 300, Newport Beach, CA 92660-7809 | 2007-09-19 |
| 1336278720 | Kay Keeyeul Sung | Dermatology | 1525 Superior Ave Ste 210, Newport Beach, CA 92663-3656 | 2007-03-03 |
| 1932283561 | Donna Marie West | Dermatology | 5140 Birch St, Ste #100, Newport Beach, CA 92660-2169 | 2006-10-24 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on BLUE HARBOR DERMATOLOGY INC.
| 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.