Advanced Dermatology Care Center Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G86476 Issued in CA

Legal business name

ADVANCED DERMATOLOGY CARE CENTER INC

Practice address

19582 Beach Blvd
Suite 217
Huntington Beach, CA 92648-5923

Phone

(949) 650-1244

Fax

(949) 650-1515

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Sedrak, MDNPI 1316966575

Title

President

Phone

(346) 888-4488

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

Practitioners 5

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

• Joseph Fayez Sedrak, M.D.

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
  • NPI 1316966575

  CA, Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Silvia Sedrak, D.O.

  • Family Medicine Physician
  • Katy, TX
  • NPI 1346360906

  CA

  Medicare reassignment Care Compare group NPD
• Laura Cohen, M.D

  • Dermatology Physician
  • Franklin, TN
  • NPI 1629025929

  CA

  Medicare reassignment NPD
• Desirae Nicole Macias, P.A

  • Physician Assistant
  • Huntington Beach, CA
  • NPI 1851763676
  Medicare reassignment
• Daniel S Yanni, M.D.

  • Neurological Surgery Physician
  • Newport Beach, CA
  • NPI 1811145881
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1114971975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD",
            "address_2": "SUITE 217",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485923",
            "telephone_number": "949-650-1244",
            "fax_number": "949-650-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD",
            "address_2": "SUITE 217",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485923",
            "telephone_number": "949-650-1244",
            "fax_number": "949-650-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "346-888-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G86476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adl Physical Therapy Professional Corporation
• Annissa Adrian
• Henry Joseph Aduna Jr., TCH
• Advanced Anesthesia Medical Group Inc
• Advanced Behavioral Health, Inc.
• Advanced Eyecare Center, Inc.
• Advanced Surgical Consultants
• Advances in Behavior Analysis, Inc
• Advantagecare, a Licensed Clinical Social Worker PC
• Mayumi Advincula Boussemart

• Dermatology Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.