Lynn Dimino MD Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G71777 Issued in CA

Legal business name

LYNN DIMINO MD INC.

Practice address

360 San Miguel Dr
Suite 603
Newport Beach, CA 92660-7853

Phone

(949) 721-8300

Fax

(949) 721-8833

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Dimino, MDNPI 1699724542

Title

Physician

Phone

(949) 721-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Dimino, M.D.

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1699724542
  Medicare reassignment NPD Authorized official
• Stacy Norman, P.A.

  • Specialist
  • Laguna Hills, CA
  • NPI 1417146655
  Medicare reassignment

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1609072446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 603",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-721-8300",
            "fax_number": "949-721-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 603",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-721-8300",
            "fax_number": "949-721-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN DIMINO MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "DIMINO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-721-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G71777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, BLUE SHIELD",
            "identifier": "1609072446",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCES",
            "identifier": "1699724542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Ly
• Sung Lydon, D.D.S.
• Lyg, a Professional Medical Corporation
• Jennifer Ann Lyman, PH.D.
• Sarah Lyndon, PSY.D
• Kenneth P. Lyons, M.D.
• Dan Lyu
• M Hugh Bailey MD Facs PC Inc
• Dandan Ma, MD
• Ritah Maalouf, DC

• Dermatology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.