NPIMap

Organization Active NPI

Array Skin Therapy, a Medical Corporation

  • Dermatology Physician
  • Mission Viejo, CA
National Provider Identifier
1891075123
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A97816 Issued in CA
Legal business name
ARRAY SKIN THERAPY, A MEDICAL CORPORATION
Practice address
26932 Oso Pkwy
#270
Mission Viejo, CA 92691-5815
Phone
(949) 600-5325
NPI assigned
Aug 18, 2011
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Ms. Kristen Calame Miller, N.P.NPI 1386606739
Title
N.P./Secretary
Phone
(714) 313-9668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A97816 CA Primary

Addresses

Primary practice location

26932 Oso Pkwy
#270
Mission Viejo, CA 92691-5815

Mailing address

26932 Oso Pkwy
#270
Mission Viejo, CA 92691-5815
Phone (949) 600-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111025000506 CA Part B Supplier - Clinic/Group Practice 1557534278 Receives reassigned benefits from 14 practitioners
Practice locations: Los Angeles, CA; Mission Viejo, CA; Newport Beach, CA; Placentia, CA; Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

2990 S Sepulveda Blvd
Ste 208
Los Angeles, CA 90064

26932 Oso Pkwy
Ste 270
Mission Viejo, CA 92691
Phone (714) 313-9668

1601 Dove St
Ste 184
Newport Beach, CA 92660
Phone (949) 600-5325

2850 Artesia Blvd
Ste 208
Redondo Beach, CA 90278
Phone (310) 370-0371

161 Thunder Dr
Ste 209
Vista, CA 92083
Phone (760) 305-7010

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 & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1891075123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "address_2": "#270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-600-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "address_2": "#270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-600-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARRAY SKIN THERAPY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "CALAME",
        "authorized_official_title_or_position": "N.P./SECRETARY",
        "authorized_official_telephone_number": "714-313-9668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A97816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.