Anny Xiao, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20A16682 Issued in CA

Practice address

25500 Rancho Niguel Rd Ste 280
Laguna Niguel, CA 92677-7306

Phone

(949) 448-0487

NPI assigned

Apr 9, 2017

Last updated

Jan 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer Channual MD IncGroup PAC ID 8628333978, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.23 of 100Reported as group

Quality

100

Improvement activities

40

Cost

80.78

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Jennifer Channual MD Inc

  • Dermatology Physician
  • Laguna Hills, CA
  • NPI 1710485982
  Medicare reassignment Care Compare group NPD
• Anne Marie McNeill, MD, PHD, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1225366610
  Medicare reassignment NPD
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  NPD (past)

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1396278156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 47TH ST APT B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632531",
            "telephone_number": "510-684-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 280",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777306",
            "telephone_number": "949-448-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIAO",
        "first_name": "ANNY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A16682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Wood, M.F.T.
• Wendy S. Wood, DPT
• Brendan Woods
• Kathryn Wright, LCSW
• Tracy Wynn
• Roupen Yaghsezian, MD
• Shuntaro Yamasaki
• Lawrence Steven Yanez
• Unique Yang
• Mark G Yano, D.D.S.

• Dermatology Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.