Organization Active NPI

Pediatric Dermatology of Orange County PC

  • Pediatric Dermatology Physician
  • Irvine, CA
National Provider Identifier
1366725590
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
Legal business name
PEDIATRIC DERMATOLOGY OF ORANGE COUNTY PC
Practice address
3500 Barranca Pkwy
Ste 160
Irvine, CA 92606-8226
Phone
(949) 336-6569
Fax
(949) 336-6570
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Dr. Brandie J Metz, MD
Title
Owner
Phone
(949) 336-6569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NP0225X Primary

Addresses

Primary practice location

3500 Barranca Pkwy
Ste 160
Irvine, CA 92606-8226

Mailing address

3500 Barranca Pkwy
Ste 160
Irvine, CA 92606-8226
Phone (949) 336-6569

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
05D2035868Pediatric Dermatology of Orange County. PC3500 Barranca Pkwy Ste 160, Irvine, CA 92606Provider-performed microscopyJan 25, 2028

National Provider Directory

National Provider Directory

Locations

3500 Barranca Pkwy
Ste 160
Irvine, CA 92606
Phone (949) 336-6569

3500 Barranca Pkwy
Ste 230
Irvine, CA 92606
Phone (949) 336-6569

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1366725590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY",
            "address_2": "STE 160",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068226",
            "telephone_number": "949-336-6569",
            "fax_number": "949-336-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY",
            "address_2": "STE 160",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068226",
            "telephone_number": "949-336-6569",
            "fax_number": "949-336-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DERMATOLOGY OF ORANGE COUNTY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-336-6569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.