Active NPI
Pediatric Dermatology of Orange County PC
- Pediatric Dermatology Physician
- Irvine, CA
National Provider Identifier
1366725590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dermatology Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2035868 | Pediatric Dermatology of Orange County. PC | Provider-performed microscopy | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.