Individual provider Active NPI

Dana Marie Hutchison, MD

  • Dermatology Physician
  • Ladera Ranch, CA
National Provider Identifier
1093396434
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A190937 Issued in CA
Practice address
600 Corporate Dr Ste 240
Ladera Ranch, CA 92694-2111
Phone
(949) 364-8411
NPI assigned
Apr 17, 2021
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 A190937 CA Primary

Addresses

Primary practice location

600 Corporate Dr Ste 240
Ladera Ranch, CA 92694-2111

Mailing address

2901 W Coast Hwy Ste 200
Newport Beach, CA 92663-4045

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
I20231208001615 CA Order and Referring Only - DermatologyPractitioner - Dermatology 4981053451

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Un of California, Irvine, College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3021 Ridge Rd
Rockwall, TX 75032-5830

600 Corporate Dr
Suite 240
Ladera Ranch, CA 92694-2106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A190937CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth V. Lener, M.D., Inc. Dermatology CurrentSince Jul 28, 2026 Accepting new patients

Locations

600 Corporate Dr
Ste 230
Ladera Ranch, CA 92694
Phone (949) 364-8411

600 Corporate Dr
Ste 240
Ladera Ranch, CA 92694
Phone (949) 364-8411

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1093396434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W COAST HWY STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR STE 240",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942111",
            "telephone_number": "949-364-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A190937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

Verify at the official NPI Registry.