Active NPI
Chelsea Grimes Fidai, M.D.
- MOHS-Micrographic Surgery Physician
- Hermosa Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A171819
- Practice address
- 2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701 - Phone
- (424) 332-1574
- Fax
- (424) 296-2160
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A171819 | CA | |
| Procedural Dermatology Physician | 207NS0135X | A171819 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A171819 | CA | Primary |
Addresses
Primary practice location
2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701
Mailing address
2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701
Phone (424) 332-1574
Other practice location 1
1101 N Sepulveda Blvd Ste 100
Manhattan Beach, CA 90266-5962
Phone (310) 546-7780
Other names 1
- Chelsea Midori Grimes
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 N Sepulveda Blvd
Suite 100
Manhattan Beach, CA 90266-5962
Phone (310) 546-7780
2200 Pacific Coast Hwy
Suite 215
Hermosa Beach, CA 90254-2701
Phone (424) 332-1574
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.59 of 100
- Quality
- 95.18
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 28 |
| Removal of skin lesions | 354 |
| Removal of skin cancer | 60 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 69 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171819 | CA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastline Surgery Center of California PC | Dermatology | Current | Accepting new patients |
| Chelsea Fidai MD Inc | Dermatology | Current | Accepting new patients |
| Ocean Skin and Vein Institute | Dermatology | Current | Accepting new patients |
| Providence Health System Southern California | Past | Accepting new patients |
Locations
2200 Pacific Coast Hwy
Ste 215
Hermosa Beach, CA 90254
Phone (310) 567-0456
1101 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 370-5670
3661 Torrance Blvd
Ste 104
Torrance, CA 90503
Phone (310) 370-5670
13420 Newport Ave
Ste G
Tustin, CA 92780
Phone (714) 731-0061
Organizations & group practices 4
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.
-
dba The Center for Laser and Skin Surgery
- Dermatology Physician
- Hermosa Beach, CA
- NPI 1508753278
-
- Dermatology Physician
- Tustin, CA
- NPI 1790246841
-
- Ambulatory Surgical Clinic/Center
- Hermosa Beach, CA
- NPI 1932076635
Dermatology
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1841653714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PACIFIC COAST HWY STE 215",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542701",
"telephone_number": "424-332-1574",
"fax_number": "424-296-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PACIFIC COAST HWY STE 215",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542701",
"telephone_number": "424-332-1574",
"fax_number": "424-296-2160"
}
],
"practiceLocations": [
{
"address_1": "1101 N Sepulveda Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Manhattan Beach",
"state": "CA",
"postal_code": "902665962",
"country_code": "US",
"telephone_number": "310-546-7780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIDAI",
"first_name": "CHELSEA",
"middle_name": "GRIMES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A171819",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A171819",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A171819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "GRIMES",
"middle_name": "MIDORI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.