Individual provider Active NPI

Amy H Litchfield, M.D.

  • Dermatology Physician
  • Mission Viejo, CA
National Provider Identifier
1376504902
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A72814 Issued in CA
Practice address
28261 Marguerite Pkwy
Suite 200
Mission Viejo, CA 92692-3703
Phone
(949) 542-8500
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A72814 CA Primary

Addresses

Primary practice location

28261 Marguerite Pkwy
Suite 200
Mission Viejo, CA 92692-3703

Mailing address

303 Calle Francesca
San Clemente, CA 92672-4507
Phone (949) 294-1697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060321000687 CA Practitioner - Dermatology 7719994482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Coastal Dermatology a Medical CorporationGroup PAC ID 6002138591, 2 clinicians

Practice addresses (Care Compare)

28261 Marguerite Pkwy
Suite 200
Mission Viejo, CA 92692-3702
Phone (949) 542-8500

Merit-based Incentive Payment System (MIPS)

Final score
98.26 of 100Reported as group
Quality
95.66
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions1929
Removal of nail tissue1-10
Removal or shaving of skin growth401
Skin biopsy14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A72814CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Coastal Dermatology a Medical Corporation CurrentSince Jun 22, 2012 Accepting new patients
Crystal Cove Dermatology, Inc. Past Accepting new patients
St Joseph Hospital of Orange PastSince Nov 10, 2014 Accepting new patients

Locations

28261 Marguerite Pkwy
Mission Viejo, CA 92692
Phone (949) 294-1679

28261 Marguerite Pkwy
Ste 200
Mission Viejo, CA 92692
Phone (949) 542-8500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1376504902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CALLE FRANCESCA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724507",
            "telephone_number": "949-294-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28261 MARGUERITE PKWY",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923703",
            "telephone_number": "949-542-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHFIELD",
        "first_name": "AMY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A72814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.