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NEWPORT COAST DERMATOLOGY
NPI 1063608107
Dermatology - MOHS-Micrographic Surgery in Newport Beach, CA

Active since September 21, 2007CLIA 05D1021513 · Certificate of Compliance
3991 MACARTHUR BLVD, SUITE 228, NEWPORT BEACH, CA 92660(949) 863-0988(949) 863-0088 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Newport Coast Dermatology NPPES

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

NEWPORT COAST DERMATOLOGY (NPI 1063608107) is a healthcare organization registered as a mohs-micrographic surgery in Newport Beach, California and active in the NPI registry since September 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 16, 2027 and lists Grace Liu, Dr., as its authorized official.

NPPES Registry Identity

NPI1063608107
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameNEWPORT COAST DERMATOLOGY
Location Address3991 MACARTHUR BLVD, SUITE 228Newport Beach, CA 92660-3058
Mailing Address3991 Macarthur Blvd, Suite 228Newport Beach, CA 92660-3058 · (949) 863-0988 · Fax (949) 863-0088
Phone(949) 863-0988
Fax(949) 863-0088
Organization SubpartNo
Authorized OfficialGrace LiuDr. · (949) 863-0988
Enumeration DateSeptember 21, 2007
Last NPPES UpdateJune 17, 2008
✔ NPI 1063608107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CA · A61446
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
3991 MACARTHUR BLVD, Newport Beach, CA 92660
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Other Identifiers 1

Medicare PINW16839CA

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1021513

Newport Coast Dermatology C/O Grace Liu MD · Newport Beach, CA
Active · expires Mar 16, 2027
CLIA Number05D1021513
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorGrace S. Liu MD
Laboratory Phone(949) 863-0988
Laboratory LocationNewport Coast Dermatology C/O Grace Liu MD3991 Macarthur Blvd Ste 228, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAURA OSMANSKI NP
Nurse Practitioner (Psychiatric/Mental Health)
3991 MACARTHUR BLVD
NEWPORT BEACH, CA 92660
Orange County (949) 887-7187
MARIA HUANG M.D.
Family Medicine
3991 MACARTHUR BLVD, STE 228
NEWPORT BEACH, CA 92660
Orange County (949) 863-0988
PACIFIC CENTER FOR PLASTIC SURGERY
Clinic/Center
3991 MACARTHUR BLVD, SUITE 320
NEWPORT BEACH, CA 92660
Orange County (949) 720-3888
MR. LESTER ROBERTSON P.A.- C
Physician Assistant (Surgical)
3991 MACARTHUR BLVD, SUITE 320
NEWPORT BEACH, CA 92660
Orange County (949) 720-3888
DR. GRACE S LIU M.D.
Dermatology (MOHS-Micrographic Surgery)
3991 MACARTHUR BLVD, SUITE 228
NEWPORT BEACH, CA 92660
Orange County (949) 863-0988
LARRY S NICHTER MD & JED H HOROWITZ MD
Plastic Surgery
3991 MACARTHUR BLVD, SUITE 320
NEWPORT BEACH, CA 92660
Orange County (949) 720-3888
GRACE S LIU, M D INC
Dermatology (MOHS-Micrographic Surgery)
3991 MACARTHUR BLVD, STE. 228
NEWPORT BEACH, CA 92660
Orange County (949) 863-0988
DANIEL C. HUANG D.D.S., INC.
Dentist (General Practice)
3991 MACARTHUR BLVD, SUITE 228
NEWPORT BEACH, CA 92660
Orange County (949) 863-0988

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 Newport Coast Dermatology's NPI number?

The NPI number for Newport Coast Dermatology is 1063608107. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Newport Coast Dermatology located?

Newport Coast Dermatology is located at 3991 Macarthur Blvd Suite 228, Newport Beach, CA 92660. The listed phone number is (949) 863-0988.

What is Newport Coast Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Newport Coast Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1021513) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newport Coast Dermatology was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.