Farah C Awadalla, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A125067 Issued in CA

Practice address

27800 Medical Center Rd Ste 220
Mission Viejo, CA 92691-6408

Phone

(949) 545-6605

Fax

(949) 326-7509

NPI assigned

Jun 3, 2009

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Bobby Awadalla Other name

Medicare fee-for-service enrollment

Enrolled in CA, AZ, NV3 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 3

Specialty

Dermatology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derm Lounge PCGroup PAC ID 9133666514, 3 clinicians

La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

F Awadalla MD PCGroup PAC ID 0446685481, 5 clinicians

Daniel Taheri MD PCGroup PAC ID 8325142334, 16 clinicians

Ag Medical Group PCGroup PAC ID 8820586175, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Merit-based Incentive Payment System (MIPS)

Final score

91.69 of 100Reported as group

Quality

91.59

Promoting interoperability

94

Improvement activities

40

Cost

76.9

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 77)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ag Medical Group PC

  dba Skincredible Skin & Cancer Center

  • Dermatology Physician
  • Monterey, CA
  • NPI 1649016320
  Medicare reassignment Care Compare group NPD
• Derm Lounge PC

  dba Derm Lounge

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1962260208
  Medicare reassignment Care Compare group NPD
• F Awadalla MD PC

  dba Skincredible Dermatology & Surgery

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1255982724
  Medicare reassignment Care Compare group NPD
• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Daniel Taheri MD PC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1407992217

  Dermatology

  Medicare reassignment Care Compare group NPD
• California Dermatology Institute PC

  dba California Dermatology Institute

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1235671389
  Medicare reassignment NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment NPD
• Ramin Tayani MD Inc

  dba Tayani Eye Institute

  • Ophthalmology Physician
  • San Clemente, CA
  • NPI 1841465986
  Medicare reassignment NPD
• J Robert West, M.D., Inc

  dba Las Vegas Skin and Cancer Clinics

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1295338416
  Medicare reassignment NPD
• F Awadalla MD PC

  dba Skincredible Dermatology & Surgery

  • Foot & Ankle Surgery Podiatrist
  • Mission Viejo, CA
  • NPI 1740164326
  NPD
• Derm Lounge PC

  dba Derm Lounge

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1932994332
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  dba Turlock Dermatology & Skin Cancer

  • Non-Pharmacy Dispensing Site
  • Turlock, CA
  • NPI 1356974059
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1669608790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD STE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916408",
            "telephone_number": "949-545-6605",
            "fax_number": "949-326-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD STE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916408",
            "telephone_number": "949-545-6605",
            "fax_number": "949-326-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31655 Coast Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Laguna Beach",
            "state": "CA",
            "postal_code": "926517019",
            "country_code": "US",
            "telephone_number": "949-545-6605",
            "fax_number": "949-326-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWADALLA",
        "first_name": "FARAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A125067",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A125067",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A125067",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A125067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBY",
            "last_name": "AWADALLA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maya Ilana Attia
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• George Ronald Austin, D.C.
• Auxiliary Residential Care (Coronel Home)
• Sophia Avila
• Habib Azad, M.D.
• B. Morrison Psychology, Inc.
• B.B.W. Drug Corporation (Cal-Med Pharmacy)
• Dipalee Babaria, DPT
• Kira Simon Babb, PA-C

• Dermatology Physician in Mission Viejo, CA
• Providers in Mission 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 Nov 13, 2024; 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.

Verify at the official NPI Registry.