California Coastal Dermatology a Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

72814 Issued in CA

Legal business name

CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION

Practice address

28261 Marguerite Pkwy
Mission Viejo, CA 92692-3703

Phone

(949) 294-1679

NPI assigned

Apr 3, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Litchfield, M.D.NPI 1376504902

Title

President

Phone

(949) 294-1697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy H Litchfield, M.D.

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1376504902
  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen Casamiquela

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1689936353
  Medicare reassignment Care Compare group NPD
• William Warren Kwan, MD

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1376504407
  Medicare reassignment NPD
• Bryan Collins Hiscox, M.D.

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1093072571

  CA

  Medicare reassignment NPD
• Elizabeth Phillips

  • Physician Assistant
  • Mission Viejo, CA
  • NPI 1306216361
  NPD

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1083032262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CALLE FRANCESCA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724507",
            "telephone_number": "949-294-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28261 MARGUERITE PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923703",
            "telephone_number": "949-294-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "LITCHFIELD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-294-1697",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "72814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Sabha Cabrera, RD
• Victor V Cachia, DPM
• Zachary Cadman, DC
• Carolyn Arleen Calderwood, MA
• California Care Detox & Treatment
• California Emergency Physc Med GRP
• California Emergency Physicians
• California Physician Consultants, PC
• California Rehabilitation & Sports Therapy a California Physical Ther (California Rehabilitation & Sports Therapy)
• California Specialty Surgery Center, LLC

• Medical Specialty Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.