INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.
NPI 1013136357
Dermatology - Procedural Dermatology in Newport Beach, CA

Q: What is Integrated Dermatology And Dermatopathology, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since April 25, 2007

1525 SUPERIOR AVE, SUITE 210, NEWPORT BEACH, CA 92663(949) 722-3555(949) 722-3512 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Integrated Dermatology And Dermatopathology, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. (NPI 1013136357) is a healthcare organization registered as a procedural dermatology in Newport Beach, California and active in the NPI registry since April 2007. The organization lists Kay Keeyeul Sung, President, as its authorized official.

NPPES Registry Identity

NPI1013136357

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameINTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.

Location Address1525 SUPERIOR AVE, SUITE 210Newport Beach, CA 92663-3639

Mailing Address11902 Candor StCerritos, CA 90703-6907 · (562) 714-5849

Phone(949) 722-3555

Fax(949) 722-3512

Organization SubpartNo

Authorized OfficialKay Keeyeul SungPresident · (949) 722-3555

Enumeration DateApril 25, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1013136357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in CA · A86806

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Also ListedDermatologyTaxonomy 207N00000X · License A86806 (CA)

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A86806 (CA)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License A86806 (CA)

1525 SUPERIOR AVE, Newport Beach, CA 92663

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Dermatology And Dermatopathology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Integrated Dermatology And Dermatopathology, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kay Sung, M.D.

Dermatology

NPI 1336278720

1525 SUPERIOR AVE STE 210
Newport Beach, CA 92663

(949) 722-3555

✔ PECOS✔ Accepts MedicareSame address

Christine Lopez, NP-C

Nurse Practitioner

NPI 1225425150

4045 GRAND AVE
Chino, CA 91710

(657) 758-8406

✔ PECOS✔ Accepts Medicare28 mi

Robert Miller, MD

Dermatology

NPI 1053463760

3325 PALO VERDE AVE #107
Long Beach, CA 90808

(562) 420-8333

✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Dermatology And Dermatopathology, Inc.'s NPI number?

The NPI number for Integrated Dermatology And Dermatopathology, Inc. is 1013136357. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Integrated Dermatology And Dermatopathology, Inc. located?

Integrated Dermatology And Dermatopathology, Inc. is located at 1525 Superior Ave Suite 210, Newport Beach, CA 92663. The listed phone number is (949) 722-3555.

What is Integrated Dermatology And Dermatopathology, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Integrated Dermatology And Dermatopathology, Inc. enrolled in Medicare?

Yes. Integrated Dermatology And Dermatopathology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Dermatology And Dermatopathology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Integrated Dermatology And Dermatopathology, Inc., in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology And Dermatopathology, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.