Individual provider Active NPI

Trevor T. Muirhead, M.D.

  • Dermatology Physician
  • Santa Ana, CA
National Provider Identifier
1386819241
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A117526 Issued in CA
Practice address
1125 E 17TH St Ste W248
Santa Ana, CA 92701-2205
Phone
(714) 547-5151
Fax
(714) 547-4027
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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 A117526 CA Primary

Addresses

Primary practice location

1125 E 17TH St Ste W248
Santa Ana, CA 92701-2205

Mailing address

1125 E 17TH St Ste W248
Santa Ana, CA 92701-2205
Phone (714) 547-5151

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
I20120618000390 CA Practitioner - Dermatology 7517121882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

1125 E 17TH St
Suite W248
Santa Ana, CA 92701-2205
Phone (714) 547-5151

30201 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5926
Phone (949) 363-1788

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1141
Removal of skin cancer164
Removal or shaving of skin growth99
Skin biopsy86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117526CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Dermatology, Inc Dermatology CurrentSince Sep 1, 2012 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Nov 1, 2022 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
University of California Irvine Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1125 E 17th St
Ste W248
Santa Ana, CA 92701
Phone (714) 547-5151

1125 E 17th St
Santa Ana, CA 92701
Phone (714) 547-5751

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1386819241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE W248",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012205",
            "telephone_number": "714-547-5151",
            "fax_number": "714-547-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE W248",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012205",
            "telephone_number": "714-547-5151",
            "fax_number": "714-547-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIRHEAD",
        "first_name": "TREVOR",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A117526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.