Tracy Treybig Wiegand, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA60129 Issued in CA

Practice address

250 Newport Center Dr Ste M101
Newport Beach, CA 92660-7516

Phone

(949) 414-8426

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Lumen Skin Health PC

  dba Lumen Skinlab

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932084837
  NPD Authorized official
• Bita Adib Bagheri MD

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1518685650
  Medicare reassignment
• Howard Fein MD Inc

  dba Pacific Dermatology Specialists

  • Dermatology Physician
  • Rllng HLS Est, CA
  • NPI 1073795266
  Medicare reassignment
• Howard Fein PC

  dba Rolling Hills Dermatology Group, Inc

  • Dermatology Physician
  • Rolling Hills Estates, CA
  • NPI 1003633140
  NPD (past)
• Palos Verdes Skin Surgery Ctr Inc

  dba Palos Verdes Dermatology Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Rolling Hills Estates, CA
  • NPI 1285028803
  NPD (past)

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1689328106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE M101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE M101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607516",
            "telephone_number": "949-414-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "TRACY",
        "middle_name": "TREYBIG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60129",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PA60129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul B Whittemore, PHD
• Alexander James Whyte
• Ji Eun Wi
• Shaun Jameson Wiebe-Bailey, D.C.
• Tracy Rust Wiegand, D.C.
• Leslie Ashley Wieland, PT, DPT, ATC, CMT
• Duncan S. Wigg, PHD
• Wiggin Out Salons (American Prosthetics & Design)
• Tyzhera Wiliams
• Bobbi Louise Wilkens, MSPA-C

• Dermatology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.