Individual provider Active NPI

Raul Delrosario, M.D.

  • Dermatopathology (Pathology) Physician
  • Laguna Beach, CA
National Provider Identifier
1548367402
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
A56061 Issued in CA
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

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A560610MedicaidCA

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
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 IncGroup PAC ID 1456312396, 27 clinicians

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 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56061CAMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2016 Accepting new patients
Newport Harbor Pathology Medical Group Inc CurrentSince Nov 1, 2016 Accepting new patients
Hoag Memorial Hospital Presbyterian Current Accepting new patients
Patient Preferred Dermatology Medical Group, Inc. PastSince Jan 1, 2007 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.

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

Sources for this page

Verify at the official NPI Registry.