MPZ Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MPZ DERMATOLOGY

Practice address

1820 Fullerton Ave Ste 360
Corona, CA 92881-3106

Phone

(951) 270-4494

Fax

(951) 270-4495

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Greg Lynch, PA-C

Title

Chief Financial Officer

Phone

(909) 227-8034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Huu-Luyen Nguyen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Rancho Cordova, CA
  • NPI 1740482603

  Dermatology

  Medicare reassignment Care Compare group NPD
• Manouchehr Seyfzadeh, M.D., PH.D.

  • Dermatology Physician
  • Corona, CA
  • NPI 1306895974
  Medicare reassignment Care Compare group NPD
• Gregory K. Lynch, PA-C

  • Physician Assistant
  • Corona, CA
  • NPI 1790008175
  Medicare reassignment Care Compare group
• Brian Dean Rothi, M.D.

  • Orthopaedic Surgery Physician
  • Whittier, CA
  • NPI 1932253952
  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1790516623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5357 VIA MORENA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865007",
            "telephone_number": "909-227-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 360",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813106",
            "telephone_number": "951-270-4494",
            "fax_number": "951-270-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPZ DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-227-8034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aafiya Mohammed Javeed Moulvi, PHARMD
• Manal Moussaoui
• Mowbray P Hagan, MD, Inc
• Mowbray P. Hagan, M.D. Inc.
• Mpol Laboratory LLC
• Mr Patel DDS, Inc.
• MST Consulting, LLC.
• Teresia Ndete Muathe, REGISTERED NURSE
• Michelle Ann Mueller, RD
• Nicholas S Muff, MD

• Dermatology Physician in Corona, CA
• Providers in Corona, 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 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.