Bobak Hedayati, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A176553 Issued in CA

Practice address

5010 Campus Dr # 140
Newport Beach, CA 92660-2120

Phone

(949) 395-6221

NPI assigned

Mar 29, 2020

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Male

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

University of California, Irvine, California College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aesthetic Dermatology and Laser Center Medical Group IncGroup PAC ID 3779674601, 3 clinicians

Natalie Driessen MD IncGroup PAC ID 0446481360, 10 clinicians

Dermatology Collective IncGroup PAC ID 8729463914, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dermatology Collective Inc

  • Dermatology Physician
  • Glendora, CA
  • NPI 1720723448
  Medicare reassignment Care Compare group NPD
• Natalie Driessen, MD, Inc.

  dba Dermatology and Plastic Surgery Specialists

  • Plastic Surgery Physician
  • Palm Desert, CA
  • NPI 1356770515
  Medicare reassignment Care Compare group NPD
• New Wave Dermatology and Laser

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
  • NPI 1972302560
  Medicare reassignment NPD Authorized official
• Aesthetic Dermatology & Laser Center Medical Group Inc

  dba Edward M. Kramer M.D.

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1255473815
  Medicare reassignment Care Compare group
• Dermatology Spa Med Inc

  • Dermatology Physician
  • Pismo Beach, CA
  • NPI 1356094676
  Medicare reassignment NPD
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  NPD (past)

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1568090272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 CAMPUS DR # 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602120",
            "telephone_number": "949-208-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CAMPUS DR # 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602120",
            "telephone_number": "949-395-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 W Foothill Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917412470",
            "country_code": "US",
            "telephone_number": "626-240-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDAYATI",
        "first_name": "BOBAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A176553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthzone Physical Therapy Inc
• Healthzone, Inc
• Ryan Heapy, LMFT
• Gail Hebel, M.D.
• Kim Hecht, D.O
• Hedieh Tavajohi-Kermani, DDS, MDS, Inc (Newport Orthodontics & Children's Dentistry)
• Kenneth Ryan Heffernan, R.D.
• Bruyere Frances Hefner
• Alan Douglas Heide, LMFT
• Andrea Heiden, MFT

• MOHS-Micrographic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.