Alamitos Dermatological Medical Clinic a Professional Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP

Practice address

27725 Santa Margarita Pkwy
Suite 110
Mission Viejo, CA 92691-6704

Phone

(949) 581-1588

Fax

(949) 581-1619

NPI assigned

Aug 9, 2007

Last updated

Feb 25, 2016By 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

Monica T Dennis

Title

Administrator

Phone

(562) 619-8440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Los Alamitos, CA
  • NPI 1750509444

  O20040514001203

  Same enrollment
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Huntington Beach, CA
  • NPI 1811188212

  O20040514001203

  Same enrollment
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Tustin, CA
  • NPI 1891986204

  O20040514001203

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

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.

• Michael Arnstein, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1821000100
  NPD
• Matthew Bart Luxenberg, MD

  • Specialist
  • Los Alamitos, CA
  • NPI 1548353121
  NPD
• Michael Anthony Radonich, M.D.

  • Specialist
  • Los Alamitos, CA
  • NPI 1053404681
  NPD
• Sidney B Newman, M.D.

  • Specialist
  • Los Alamitos, CA
  • NPI 1235222860
  NPD (past)
• Charles David Rosenberg, M.D.

  • Specialist
  • Huntington Beach, CA
  • NPI 1134212681
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1801087218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY",
            "address_2": "SUITE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916704",
            "telephone_number": "949-581-1588",
            "fax_number": "949-581-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY",
            "address_2": "SUITE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916704",
            "telephone_number": "949-581-1588",
            "fax_number": "949-581-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-619-8440"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Paul Akrawi, MD
• Ali Al-Hilfi
• Mohammad Faisal Al-Sayyad, MD
• Nazanin Alaghemand
• Alamirad Dental Corp (OCMedical Dental Spa & Implant Center)
• Anabel Alandy
• Albertsons LLC (Savon Pharmacy #2549)
• Cita Bianca Apostol Alcala, AU.D.
• Edward Aldaz, LCSW
• Liliana Aldaz

• Specialist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.