Organization Active NPI

Saves the Day Dermatology Medical

  • Dermatology Physician
  • Costa Mesa, CA
National Provider Identifier
1073710059
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G93542 Issued in CA
Legal business name
SAVES THE DAY DERMATOLOGY MEDICAL
Practice address
188 E 17TH St
Ste 101
Costa Mesa, CA 92627-3763
Phone
(949) 646-7110
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Athena Paras
Title
Billing Manager
Phone
(949) 542-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G93542 CA Primary

Addresses

Primary practice location

188 E 17TH St
Ste 101
Costa Mesa, CA 92627-3763

Mailing address

3553 Camino Mira Costa Ste H
San Clemente, CA 92672-3512
Phone (949) 542-3040

National Provider Directory

National Provider Directory

Locations

188 E 17th St
Ste 101
Costa Mesa, CA 92627
Phone (949) 515-4548

3553 Camino Mira Costa
Ste H
San Clemente, CA 92672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1073710059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 CAMINO MIRA COSTA STE H",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723512",
            "telephone_number": "949-542-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 E 17TH ST",
            "address_2": "STE 101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273763",
            "telephone_number": "949-646-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVES THE DAY DERMATOLOGY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "PARAS",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-542-3040"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G93542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.