Derm Lounge PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERM LOUNGE PC

Doing business as

Derm Lounge

Practice address

1713 W Katella Ave
Anaheim, CA 92804-6450

Phone

(714) 798-2900

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Harris C Khan

Title

President

Phone

(714) 458-6668

Specialties & licenses 2

Addresses

Other names 1

• Derm Lounge Doing business as

Locations

Practitioners 1

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

• Farah C Awadalla, MD

  • Dermatology Physician
  • Mission Viejo, CA
  • NPI 1669608790
  NPD (past)

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1932994332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183176",
            "telephone_number": "714-798-2900",
            "fax_number": "949-216-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046450",
            "telephone_number": "714-798-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Waterworks Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183176",
            "country_code": "US",
            "telephone_number": "714-798-2900",
            "fax_number": "949-216-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERM LOUNGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-458-6668"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derm Lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Marie Denton, LMFT
• Stacia Der
• Alexandra Derado
• Marilyn M. Deridder, APRN
• Nikki Jo Derleth
• Derm Lounge PC
• Chet Desai, D.D.S.
• Janki Desai, MS
• Jessica Saurabh Desai
• Naushil Desai, D.M.D.

• Dermatology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.