Individual provider Active NPI

Navid Nami, D.O.

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1710936646
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A9494 Issued in CA
Practice address
360 San Miguel Dr
Suite 501
Newport Beach, CA 92660-7853
Phone
(949) 720-1170
Fax
(949) 720-1172
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 20A9494 CA Primary

Addresses

Primary practice location

360 San Miguel Dr
Suite 501
Newport Beach, CA 92660-7853

Mailing address

360 San Miguel Dr
Suite 501
Newport Beach, CA 92660-7853
Phone (949) 720-1170

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
I20060830000570 CA Practitioner - Dermatology 2769486984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Dermatology, Inc.Group PAC ID 1850395070, 27 clinicians

Practice addresses (Care Compare)

12611 Hesperia Rd
Suite a
Victorville, CA 92395-8307
Phone (760) 951-7762

16785 Bear Valley Rd
Suite 5
Hesperia, CA 92345-0825
Phone (760) 951-7762

210 S Grand Ave
Suite 208
Glendora, CA 91741-4266
Phone (626) 914-3675

2621 S Bristol St
Suite 309
Santa Ana, CA 92704-5719
Phone (714) 617-5144

360 San Miguel Dr
Suite 501
Newport Beach, CA 92660-7831
Phone (949) 720-1170

8345 Firestone Blvd
Suite 310
Downey, CA 90241-3872
Phone (562) 923-3001

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
94.66 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions886
Removal or shaving of skin growth1-10
Skin biopsy132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9494CAMDDermatology Physician
9494CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hai Tran, M.D., Inc. Dermatology Current Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

210 S Grand Ave
Ste 208
Glendora, CA 91741
Phone (626) 914-3675

12611 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (442) 255-4130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nnami@island-dermatology.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1710936646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-720-1170",
            "fax_number": "949-720-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-720-1170",
            "fax_number": "949-720-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMI",
        "first_name": "NAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A9494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.