Lumen Skin Health PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LUMEN SKIN HEALTH PC

Practice address

250 Newport Center Dr Ste M101
Newport Beach, CA 92660-7516

Phone

(949) 414-8426

NPI assigned

Aug 8, 2025

Organization subpart

No

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

Authorized official

Name

Tracy WiegandNPI 1689328106

Title

Cfo & Secretary

Phone

(949) 414-8426

Specialties & licenses 4

Addresses

Other names 2

• LUMEN SKINLAB Doing business as
• LUMEN SKINLAB & DERMATOLOGY Doing business as

Practitioners 2

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

• Tracy Treybig Wiegand, PA

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1689328106
  NPD Authorized official
• Saba Motakef, MD

  • Plastic Surgery Physician
  • Anaheim, CA
  • NPI 1942629092
  NPD (past)

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1932084837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE M101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE M101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607516",
            "telephone_number": "949-414-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN SKIN HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "WIEGAND",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CFO & SECRETARY",
        "authorized_official_telephone_number": "949-414-8426"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUMEN SKINLAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LUMEN SKINLAB & DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lydia Luevano
• Marie Luevano
• Katherine Judith Lugo
• Brett Lukas, D.C.
• Stacy Luker, NP
• Victor Manuel Luna
• Kelly Lundquist, AMFT
• Mehrangiz Rajabi Lundquist, PHD
• Patricia J Lundquist
• Suzanne Marie Lunn, CRNA

• Dermatology Physician in Newport Beach, CA
• Providers in Newport Beach, 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 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.