Individual provider Active NPI

Chelsea Grimes Fidai, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hermosa Beach, CA
National Provider Identifier
1841653714
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A171819 Issued in CA
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

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20210727003305 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7618251489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Tulane University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Skin and Vein InstituteGroup PAC ID 9335482835, 16 clinicians

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 100Reported as group
Quality
95.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions354
Removal of skin cancer60
Removal or shaving of skin growth1-10
Skin biopsy69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171819CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Surgery Center of California PC Dermatology Current Accepting new patients
Chelsea Fidai MD Inc Dermatology CurrentSince Dec 11, 2025 Accepting new patients
Ocean Skin and Vein Institute Dermatology CurrentSince Nov 1, 2022 Accepting new patients
Providence Health System Southern California PastSince May 1, 2022 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.

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

Verify at the official NPI Registry.