Organization Active NPI

Michelle Aszterbaum MD Inc

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1295059020
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G81356 Issued in CA
Legal business name
MICHELLE ASZTERBAUM MD INC
Practice address
360 San Miguel Dr.
Suite 406
Newport Beach, CA 92660
Phone
(949) 525-0700
Fax
(866) 299-5012
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Ms. Michelle Aszterbaum, MDNPI 1992891329
Title
Sole Provider
Phone
(949) 525-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G81356 CA Primary

Addresses

Primary practice location

360 San Miguel Dr.
Suite 406
Newport Beach, CA 92660

Mailing address

360 San Miguel Dr.
Suite 406
Newport Beach, CA 92660
Phone (949) 525-0700

Other practice location 1

360 San Miguel Dr Ste 406
Newport Beach, CA 92660-7822
Phone (949) 525-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000542 CA Part B Supplier - Clinic/Group Practice 1658402052 Receives reassigned benefits from 4 practitioners
Practice locations: Newport Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2146684Michelle Aszterbaum, MD Inc360 San Miguel Dr, Ste 406, Newport Beach, CA 92660ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1295059020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR.",
            "address_2": "SUITE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-525-0700",
            "fax_number": "866-299-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR.",
            "address_2": "SUITE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-525-0700",
            "fax_number": "866-299-5012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 San Miguel Dr Ste 406",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607822",
            "country_code": "US",
            "telephone_number": "949-525-0700",
            "fax_number": "866-299-5012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE ASZTERBAUM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2025-04-08",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "ASZTERBAUM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "949-525-0700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G81356",
            "primary": true
        }
    ],
    "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 8, 2025; 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.