Active NPI
Premier Dermatology Associates of Orange County
- Dermatology Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G54200
- Legal business name
- PREMIER DERMATOLOGY ASSOCIATES OF ORANGE COUNTY
- Practice address
- 20162 SW Birch St
Suite #250
Newport Beach, CA 92660-0787 - Phone
- (949) 251-0427
- NPI assigned
- Aug 22, 2013
- Last updated
- May 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Cox, M.D
- Title
- President
- Phone
- (949) 251-0427
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G54200 | CA | Primary |
Addresses
Primary practice location
20162 SW Birch St
Suite #250
Newport Beach, CA 92660-0787
Mailing address
20162 SW Birch St Ste 250
Newport Beach, CA 92660-0797
Phone (949) 251-0427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2069891 | Premier Dermatology Associates of Orange Cty | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1811985724
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1720076631
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1538195797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1598199903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20162 SW BIRCH ST STE 250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926600797",
"telephone_number": "949-251-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20162 SW BIRCH ST",
"address_2": "SUITE #250",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926600787",
"telephone_number": "949-251-0427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER DERMATOLOGY ASSOCIATES OF ORANGE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-22",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-251-0427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G54200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.