Individual provider Active NPI

Tony Nader Nakhla, D.O.

  • Dermatology Physician
  • Santa Ana, CA
National Provider Identifier
1619052248
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A9746 Issued in CA
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

Updated by the provider on Aug 6, 2022

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100422000245 CA Practitioner - Dermatology 0143357285 Reassigns benefits to 1 organization
I20150103000054 OR Practitioner - Dermatology 0143357285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tony N Nakhla DO IncGroup PAC ID 3678600715, 6 clinicians

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 100Reported as individual
Quality
57.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions81
Removal of skin cancer230
Skin biopsy40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9746CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tony N. Nakhla, D.O., Inc. Dermatology CurrentSince Feb 1, 2010 Accepting new patients
Paul D. Reicherter, MD, PC Dermatology CurrentSince Jan 1, 2015 Accepting new patients
Richard P Klimkowski MD PC PastSince Feb 1, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.