Individual provider Active NPI

Allyson Brooke Yelich, D.O.

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1609404532
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A-24778 Issued in CA
Practice address
20162 SW Birch St Ste 250
Newport Beach, CA 92660-0797
Phone
(949) 251-0427
Fax
(949) 251-0480
NPI assigned
Mar 27, 2020
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A-24778 CA Primary

Addresses

Primary practice location

20162 SW Birch St Ste 250
Newport Beach, CA 92660-0797

Mailing address

2094 National Ave
Costa Mesa, CA 92627-3386
Phone (949) 677-4301

Other names 1

  • Allyson Brooke Brahs Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Allyson.Yelich@forefrontdermatology.emadirect.md
Direct Messaging Address Allyson.Yelich@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240617001395 MT Practitioner - Dermatology 7113460338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1821 S Ave W
Suite 402
Missoula, MT 59801-6518
Phone (406) 543-8512

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of tissue1-10
Removal of skin lesions578
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A-24778CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

1821 South Ave W
Ste 402
Missoula, MT 59801
Phone (406) 541-8512

2875 Tina Ave
Ste 104
Missoula, MT 59808
Phone (406) 329-5746

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: allyson.brahs@hca4.eclinicaldirectplus.com
  • Direct secure messaging: allyson.yelich@forefrontdermatology.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1609404532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 NATIONAL AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273386",
            "telephone_number": "949-677-4301",
            "fax_number": "949-251-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600797",
            "telephone_number": "949-251-0427",
            "fax_number": "949-251-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELICH",
        "first_name": "ALLYSON",
        "middle_name": "BROOKE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A-24778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Allyson.Yelich@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2875 Tina Ave Ste 104",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Allyson.Yelich@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1821 South Ave W Ste 402",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598016518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "BRAHS",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.