Individual provider Active NPI

Michael Lafkas, MD

  • Procedural Dermatology Physician
  • Seal Beach, CA
National Provider Identifier
1013419035
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A68833 Issued in CA
Practice address
347 Main St Ste C
Seal Beach, CA 90740-6348
Phone
(562) 596-3300
Fax
(562) 596-0333
NPI assigned
Mar 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A68833 CA Primary

Addresses

Primary practice location

347 Main St Ste C
Seal Beach, CA 90740-6348

Mailing address

347 Main St Ste C
Seal Beach, CA 90740-6348
Phone (562) 596-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A68833CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Laser Care Medical Corp Procedural Dermatology Past Accepting new patients

Organizations & group practices 1

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1013419035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MAIN ST STE C",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406348",
            "telephone_number": "562-596-3300",
            "fax_number": "562-596-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MAIN ST STE C",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406348",
            "telephone_number": "562-596-3300",
            "fax_number": "562-596-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFKAS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A68833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.