Individual provider Active NPI

Lynn Dimino, M.D.

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1699724542
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G71777 Issued in CA
Practice address
360 San Miguel Dr
Suite 603
Newport Beach, CA 92660-7853
Phone
(949) 721-8300
Fax
(949) 721-8833
NPI assigned
May 9, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G71777 CA Primary

Addresses

Primary practice location

360 San Miguel Dr
Suite 603
Newport Beach, CA 92660-7853

Mailing address

360 San Miguel Dr
Suite 603
Newport Beach, CA 92660-7853
Phone (949) 721-8300

Other identifiers 1

IdentifierTypeStateIssuer
1699724542OtherCAALL OTHER INSURNACE PPO'S

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000275 CA Practitioner - Dermatology 4082629928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Creighton University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

360 San Miguel Dr
Suite 603
Newport Beach, CA 92660-7832
Phone (949) 721-8300

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as individual
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of tissue1-10
Removal of skin lesions816
Removal of skin cancer220
Removal or shaving of skin growth340
Skin biopsy54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Dimino MD Inc. Dermatology CurrentSince Oct 18, 1999 Accepting new patients
Hoag Memorial Hospital Presbyterian PastSince Oct 18, 1999 Accepting new patients

Locations

360 San Miguel Dr
Ste 603
Newport Beach, CA 92660
Phone (949) 721-8300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1699724542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 603",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-721-8300",
            "fax_number": "949-721-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 603",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-721-8300",
            "fax_number": "949-721-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMINO",
        "first_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G71777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURNACE PPO'S",
            "identifier": "1699724542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.