Active NPI
Raul Delrosario, M.D.
- Dermatopathology (Pathology) Physician
- Laguna Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- A56061
- Practice address
- 31872 Coast Hwy
Laguna Beach, CA 92651-6773 - Phone
- (949) 499-7288
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | A56061 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A56061 | CA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | A56061 | CA | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | A56061 | CA | Primary |
Addresses
Primary practice location
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Mailing address
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A560610 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040301000890 | CA | Practitioner - Pathology | 3274420641 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newport Harbor Pathology Medical Group Inc
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 891-1297
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A56061 | CA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Harbor Pathology Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Newport Harbor Pathology Medical Group Inc | Current | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Current | Accepting new patients | |
| Patient Preferred Dermatology Medical Group, Inc. | Past | Accepting new patients |
Locations
16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641
15375 Barranca Pkwy
Ste F101
Irvine, CA 92618
Phone (949) 264-8904
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311
24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155
2901 W Coast Hwy
Ste 200
Newport Beach, CA 92663
Phone (949) 891-1297
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
805 W La Veta Ave
Ste 104
Orange, CA 92868
Phone (714) 288-4044
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Newport Beach, CA
- NPI 1790711927
Anatomic Pathology & Clinical Pathology, CA
-
- Clinical Medical Laboratory
- Orange, CA
- NPI 1619423282
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Specialist
- Los Alamitos, CA
- NPI 1851459234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1548367402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOAG DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634162",
"telephone_number": "949-764-4624",
"fax_number": "949-764-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31872 COAST HWY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516773",
"telephone_number": "949-499-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELROSARIO",
"first_name": "RAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "A56061",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A56061",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "A56061",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "CA",
"license": "A56061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A560610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Beach, CA
- Tracy Andrea Darling, MD
- David a Ruskin MD a Professional Medical Corporation
- David Sabet DPM, a Professional Corporation
- Anne F Davies, L.AC., DIPL. OM
- Dawn Atwal MD Inc
- Dermatology Associates of Orange County, Inc
- Gayani Vatsala Desilva, M.D.
- Detox California at Laguna Beach Inc
- Dewing Medicine Inc
- Janne Huynh Dewing, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.