Advanced Skincare Medcenter Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

ADVANCED SKINCARE MEDCENTER INC.

Practice address

369 San Miguel Dr Ste 235
Newport Beach, CA 92660-7816

Phone

(949) 706-2887

Fax

(949) 706-2846

NPI assigned

Jan 31, 2007

Last updated

Oct 30, 2020By 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

Jennifer Alice Armstrong, MDNPI 1568848802

Title

Owner

Phone

(949) 706-2887

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Skincare Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1700114303
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Alice Armstrong, MD

  • Clinical Pathology Physician
  • Newport Beach, CA
  • NPI 1568848802

  Single Specialty

  NPD Authorized official
• Danielle K Moul, M.D.

  • MOHS-Micrographic Surgery Physician
  • Laguna Beach, CA
  • NPI 1700091113
  NPD
• Alexander Doru Stein, MD

  • Dermatology Physician
  • Chula Vista, CA
  • NPI 1760431654
  NPD
• Adriana Laze, R.N.

  • Registered Nurse
  • Fullerton, CA
  • NPI 1053470989
  NPD (past)
• Quint Skipton, P.A.-C

  • Physician Assistant
  • Fullerton, CA
  • NPI 1043379985
  NPD (past)
• Sean Chen, MD

  • Dermatology Physician
  • Denison, TX
  • NPI 1528485448
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1689711244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607816",
            "telephone_number": "949-706-2887",
            "fax_number": "949-706-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607816",
            "telephone_number": "949-706-2887",
            "fax_number": "949-706-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SKINCARE MEDCENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-706-2887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0942229",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary B Adler, MD
• Adr Optometric Group
• Adrienne E. Pasek, Professional Psychological Corporation (Dr. Adrienne E. Pasek)
• Advanced Care Medical Inc
• Advanced Practice Services
• Advanced Skincare Surgery Center
• Advanced Surgical Center of Newport Beach, LLC
• Advanced Surgical Ctr of Newport Beach
• Advantage Health Care Services - Mission Inc (Mission Plaza Pharmacy 2 - LTC)
• Advantage Health Care Services - Mission Inc (Mission Plaza Pharmacy 2)

• MOHS-Micrographic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.