Active NPI
Tony Nader Nakhla, D.O.
- Dermatology Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A9746
- Practice address
- 800 N Tustin Ave
Suite G
Santa Ana, CA 92705-3605 - Phone
- (714) 547-6111
- Fax
- (714) 547-0833
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20A9746 | CA | Primary |
Addresses
Primary practice location
800 N Tustin Ave
Suite G
Santa Ana, CA 92705-3605
Mailing address
800 N Tustin Ave
Suite G
Santa Ana, CA 92705-3605
Phone (714) 547-6111
Other names 1
- Nader Nakhla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Tustin Ave
Suite G
Santa Ana, CA 92705-3605
Phone (714) 547-6111
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.54 of 100
- Quality
- 57.09
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 81 |
| Removal of skin cancer | 230 |
| Skin biopsy | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9746 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony N. Nakhla, D.O., Inc. | Dermatology | Current | Accepting new patients |
| Paul D. Reicherter, MD, PC | Dermatology | Current | Accepting new patients |
| Richard P Klimkowski MD PC | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients |
Locations
1441 Avocado Ave
Ste 607
Newport Beach, CA 92660
Phone (949) 640-9633
224 Avenida del Mar
Ste B
San Clemente, CA 92672
Phone (949) 492-4671
800 N Tustin Ave
Ste G
Santa Ana, CA 92705
Phone (714) 547-6111
385 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2119
1813 W Harvard Ave
Ste 310
Roseburg, OR 97471
Phone (541) 672-7546
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tnakhla@ocskin.encitedirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Santa Ana, CA
- NPI 1730411794
-
- Clinical & Laboratory Dermatological Immunology Physician
- Roseburg, OR
- NPI 1407055437
Dermatology
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- Dermatopathology Physician
- San Clemente, CA
- NPI 1407034481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1619052248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N TUSTIN AVE",
"address_2": "SUITE G",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053605",
"telephone_number": "714-547-6111",
"fax_number": "714-547-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N TUSTIN AVE",
"address_2": "SUITE G",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053605",
"telephone_number": "714-547-6111",
"fax_number": "714-547-0833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKHLA",
"first_name": "TONY",
"middle_name": "NADER",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "20A9746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NADER",
"last_name": "NAKHLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.