Roland S. Beverly III, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G65658 Issued in CA

Legal business name

ROLAND S. BEVERLY III, M.D., P.C.

Practice address

24541 Pacific Park Dr
Suite 103
Aliso Viejo, CA 92656-3065

Phone

(949) 831-3057

Fax

(949) 831-2515

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roland Spurgeon Beverly III, M.D.

Title

Owner

Phone

(949) 831-3057

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1659533677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR",
            "address_2": "SUITE 103",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563065",
            "telephone_number": "949-831-3057",
            "fax_number": "949-831-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR",
            "address_2": "SUITE 103",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563065",
            "telephone_number": "949-831-3057",
            "fax_number": "949-831-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND S. BEVERLY III, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "SPURGEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-831-3057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G65658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narda Rodriguez, D.M.D
• Rebecca Maria Rodriguez
• Cynthia Elaine Roe, LCSW
• Hanna Roh
• Rohnda Roig, LCMT, LCNA
• Kean Adrian Romanelli, LMFT
• Jennifer Romo
• Kaitlyn Helen Rosa, BSN, RN
• Adriana Rossi
• Lanier Rossignol

• Dermatology Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.