Rose Dermatology Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROSE DERMATOLOGY MEDICAL CORPORATION

Practice address

360 San Miguel Dr Ste 309
Newport Beach, CA 92660-7829

Phone

(949) 229-0306

NPI assigned

May 2, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blair Rose, MDNPI 1891113395

Title

Owner

Phone

(949) 227-3333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Blair Rose, MD

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1891113395
  NPD Authorized official

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1366389744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL RD UNIT 6358",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072414",
            "telephone_number": "949-227-3333",
            "fax_number": "949-227-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 309",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607829",
            "telephone_number": "949-229-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DERMATOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-227-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L. Katz, M. D., Inc.
• Rooted Stillness LLC
• William Roper, PT, DPT
• Yulissa Rosales
• Natalie Rosas
• Blair Rose, MD
• Julia Rose, DC
• Nicholas Elias Rose, M.D.
• Caroll-Ann Kathleen Rosenberg, R.D.
• Gail Alexandra Rosenberg, LCSW

• Dermatology Physician in Newport Beach, CA
• Providers in Newport 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 Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.