Organization Active NPI

Premier Dermatology Associates of Orange County

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1598199903
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G54200 Issued in CA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Dr. Susan Cox, M.DNPI 1811985724
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20131023000490 CA Part B Supplier - Clinic/Group Practice 2769617018 Receives reassigned benefits from 3 practitioners
Practice locations: Newport Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2069891Premier Dermatology Associates of Orange Cty20162 SW Birch St, Ste 250, Newport Beach, CA 92660ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.