Dermatology Associates of Orange County, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

BS7402299 Issued in CA

Legal business name

DERMATOLOGY ASSOCIATES OF ORANGE COUNTY, INC

Doing business as

Advanced Dermatology of Orange County, Inc

Practice address

31862 Coast Hwy
Suite 201
Laguna Beach, CA 92651-6769

Phone

(949) 706-7766

Fax

(949) 706-2211

NPI assigned

Jun 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ann Q Vu, MDNPI 1497848295

Title

President

Phone

(949) 706-7766

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dermatology of Orange County, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 2

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.

• Ann Q Vu, MD

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1497848295
  Medicare reassignment Care Compare group NPD Authorized official
• Joannie D Sun, MD

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1881780229
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1174728513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "SUITE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-706-7766",
            "fax_number": "949-706-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "SUITE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-706-7766",
            "fax_number": "949-706-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF ORANGE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-17",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-706-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "BS7402299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dermatology of Orange County, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David a Ruskin MD a Professional Medical Corporation
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• Anne F Davies, L.AC., DIPL. OM
• Dawn Atwal MD Inc
• Raul Delrosario, M.D.
• Gayani Vatsala Desilva, M.D.
• Detox California at Laguna Beach Inc
• Dewing Medicine Inc
• Janne Huynh Dewing, M.D.
• Dharini M Patel MD Inc

• Dermatology Physician in Laguna Beach, CA
• Providers in Laguna 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 Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.