Individual provider Active NPI

Helia Eragi, D.O.

  • Dermatology Physician
  • Fullerton, CA
National Provider Identifier
1013283910
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A11441 Issued in CA
Practice address
301 W Bastanchury Rd
Suite 210
Fullerton, CA 92835-3419
Phone
(714) 879-9936
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A11441 CA Primary

Addresses

Primary practice location

301 W Bastanchury Rd
Suite 210
Fullerton, CA 92835-3419

Mailing address

2 Almanzora
Newport Beach, CA 92657-1613
Phone (949) 307-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106001384 CA Practitioner - Dermatology 9931334562 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vipal Soni MD IncGroup PAC ID 0345378113, 4 clinicians

Practice addresses (Care Compare)

17742 Beach Blvd
Suite 325
Huntington Beach, CA 92647-6852
Phone (714) 848-0770

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions401
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth479
Skin biopsy23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11441CAMDMental Health Counselor
20A11441CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Dermatology Dermatology CurrentSince Nov 10, 2016 Accepting new patients
Advanced Institute of Dermatology, Inc Dermatology CurrentSince Nov 4, 2019 Accepting new patients
Surgery Center of Pure Dermatology CurrentSince Aug 30, 2020 Accepting new patients
Memorialcare Medical Foundation CurrentSince Nov 1, 2014 Accepting new patients
Vipal Soni M.D., Inc. Dermatology CurrentSince Nov 13, 2015 Accepting new patients
Martin H. Kay, PH. D. MD a Medical Corporation Dermatology Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17742 Beach Blvd
Ste 325
Huntington Beach, CA 92647
Phone (714) 375-5212

500 Superior Ave
Ste 335
Newport Beach, CA 92663
Phone (949) 706-1469

41990 Cook St
Bldg F1006
Palm Desert, CA 92211
Phone (760) 568-9300

665 Camino de los Mares
Ste 305
San Clemente, CA 92673
Phone (949) 276-8090

665 Camino de los Mares
#30
San Clemente, CA 92673
Phone (949) 276-8090

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1013283910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALMANZORA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926571613",
            "telephone_number": "949-307-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 210",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-879-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERAGI",
        "first_name": "HELIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A11441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.