Active NPI
Horizon Dermatology and Laser Institute
- Dermatology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- HORIZON DERMATOLOGY AND LASER INSTITUTE
- Practice address
- 369 San Miguel Dr. Suite 200
Newport Beach, CA 92660 - Phone
- (949) 439-9288
- Fax
- (855) 300-3270
- NPI assigned
- Apr 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nanci Lynn Cole, MS
- Title
- Office Administrator
- Phone
- (949) 439-9288
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Dermatopathology Physician | 207ND0900X | |||
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
369 San Miguel Dr. Suite 200
Newport Beach, CA 92660
Mailing address
369 San Miguel Dr. Suite 200
Newport Beach, CA 92660
Phone (949) 439-9288
National Provider Directory
National Provider DirectoryLocations
50 N La Cienega Blvd
Ste 218
Beverly Hills, CA 90211
Phone (213) 445-4545
1321 N Harbor Blvd
Ste 205
Fullerton, CA 92835
Phone (818) 917-9642
369 San Miguel Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 439-9288
505 N La Cienega Blvd
Ste 218
West Hollywood, CA 90048
Practitioners & affiliated clinicians
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.
-
- Public Health & General Preventive Medicine Physician
- Redlands, CA
- NPI 1750825295
-
- Dermatology Physician
- San Diego, CA
- NPI 1508155227
-
- Dermatology Physician
- Torrance, CA
- NPI 1548318322
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1962637215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555372800000",
"number": "1235792219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 SAN MIGUEL DR. SUITE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-439-9288",
"fax_number": "855-300-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 SAN MIGUEL DR. SUITE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-439-9288",
"fax_number": "855-300-3270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZON DERMATOLOGY AND LASER INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "NANCI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "949-439-9288",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.