Capistrano Skin Cancer Center, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CAPISTRANO SKIN CANCER CENTER, INC

Practice address

30280 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1561

Phone

(949) 248-1632

NPI assigned

Feb 3, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Marie Leiva

Title

Manager

Phone

(949) 248-1632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659739837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30280 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751561",
            "telephone_number": "949-248-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30280 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751561",
            "telephone_number": "949-248-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPISTRANO SKIN CANCER CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEIVA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-248-1632"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke T Caouette, LCSW
• Capistrano Beach Recovery Center LLC
• Capistrano Beach Recovery Center LLC
• Capistrano Connection Academy
• Capistrano Dental Partnership (Capistrano dental group)
• Capistrano Unified School District
• Elizabeth Ann Cappelletti, LMFT
• Katelyn Carbiener, RBT
• Careassist Services, Inc
• Caring Hearts Home Care (Home Helpers)

• Medical Specialty Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.