Jeffrey Keith Lander, M.D., PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A93332 Issued in CA

Practice address

16300 Sand Canyon Ave
Suite 612
Irvine, CA 92618-3711

Phone

(949) 753-1001

Fax

(949) 753-1115

NPI assigned

Jun 14, 2006

Last updated

Jan 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Minnesota Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

William J Wickwire M D Inc a Professional CorporationGroup PAC ID 7315974375, 10 clinicians

Orange Coast Dermatology IncGroup PAC ID 3274699442, 3 clinicians

Katherine Bao-Shian Lee MD a Professional CorporationGroup PAC ID 4880819879, 2 clinicians

Kristen Aguirre MD IncGroup PAC ID 7517483738, 3 clinicians

South Coast Dermatology Institute, a Medical CorporationGroup PAC ID 9931092426, 2 clinicians

J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Advanced Dermatology Inc.Group PAC ID 0749282648, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.81 of 100Reported as group

Quality

100

Promoting interoperability

99

Improvement activities

40

Cost

70.19

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFICAA/Endpoint/BFICAA

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.

• Advanced Dermatology Inc.

  dba Advanced Dermatology of San Clemente Inc

  • Dermatology Physician
  • Dana Point, CA
  • NPI 1336220540
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment Care Compare group NPD
• Katherine Bao-Shian Lee, M.D., a Professional Corporation

  dba Halcyon Dermatology

  • Dermatology Physician
  • Laguna Hills, CA
  • NPI 1881012656
  Medicare reassignment Care Compare group NPD
• Kristen Aguirre, MD Inc

  dba Regenerative Aesthetics and Dermatology

  • Procedural Dermatology Physician
  • Laguna Hills, CA
  • NPI 1528880218
  Medicare reassignment Care Compare group NPD
• South Coast Dermatology Institute, a Medical Corporation

  • Dermatology Physician
  • Tustin, CA
  • NPI 1033241138
  Medicare reassignment Care Compare group NPD
• William J Wickwire M D Inc a Professional Corporation

  dba Beach Cities Dematology Med Center

  • Dermatology Physician
  • Redondo Beach, CA
  • NPI 1326119165
  Medicare reassignment Care Compare group NPD
• Orange Coast Dermatology, Inc

  • Procedural Dermatology Physician
  • Mission Viejo, CA
  • NPI 1790937647
  Medicare reassignment Care Compare group
• Lucas Bingham M.D., Inc.

  • Dermatology Physician
  • Ladera Ranch, CA
  • NPI 1508291436
  Medicare reassignment NPD
• Jeffrey K. Lander, M.D., PH.D., Inc.

  • Specialist
  • Irvine, CA
  • NPI 1265604581
  Authorized official Same address or phone
• Lorrie J Klein MD Apc

  • Dermatology Physician
  • Laguna Niguel, CA
  • NPI 1083631808
  NPD
• Deanco Healthcare LLC.

  dba Mission Community Hospital

  • Psychiatric Hospital Unit
  • Panorama City, CA
  • NPI 1013061597
  NPD (past)
• Los Angeles ENT Facial Plastics Center, Inc

  • Medical Specialty Clinic/Center
  • Redondo Beach, CA
  • NPI 1225463797
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1174566046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3602",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926743602",
            "telephone_number": "949-485-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 612",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-753-1001",
            "fax_number": "949-753-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDER",
        "first_name": "JEFFREY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A93332",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A93332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WA93332B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Louise Lamkin
• Heather P. Lampel, MD
• Yao Lan, PHARMD
• Shauna Land, BC-HIS
• Maria Campos Landa, MFT
• Robert Allan Landeros, FNP-C
• Elise Landgraf
• Cinthia Landin, APCC
• Jasmine Landis
• Andraya Lane

• Dermatology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.