CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION
NPI 1083032262
Clinic/Center - Medical Specialty in Mission Viejo, CA

Active since April 03, 2014CLIA 05D2077800 · Certificate of Compliance
28261 MARGUERITE PKWY, MISSION VIEJO, CA 92692(949) 294-1679 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About California Coastal Dermatology A Medical Corporation NPPES

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

CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION (NPI 1083032262) is a healthcare organization registered as a medical specialty in Mission Viejo, California and active in the NPI registry since April 2014. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2027 and lists Amy Litchfield, President, as its authorized official.

NPPES Registry Identity

NPI1083032262
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION
Location Address28261 MARGUERITE PKWYMission Viejo, CA 92692-3703
Mailing Address303 Calle FrancescaSan Clemente, CA 92672-4507 · (949) 294-1697
Organization SubpartNo
Authorized OfficialAmy LitchfieldPresident · (949) 294-1697
Enumeration DateApril 3, 2014
Last NPPES UpdateDecember 2, 2014
NPI 1083032262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in CA · 72814
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
28261 MARGUERITE PKWY, Mission Viejo, CA 92692

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 05D2077800

California Coastal Dermatology · Mission Viejo, CA
Active · expires Oct 25, 2027
CLIA Number05D2077800
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorAmy H. Litchfield
Laboratory Phone(949) 542-8500
Laboratory LocationCalifornia Coastal Dermatology28261 Marguerite Pkwy, Ste 200, Mission Viejo, CA 92692
CLIA data matches this NPI record on: Address Name
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 2

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

Dermatology (Procedural Dermatology)
28261 MARGUERITE PKWY, SUITE 200
MISSION VIEJO, CA 92692
Dermatology
28261 MARGUERITE PKWY, SUITE 200
MISSION VIEJO, CA 92692

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 California Coastal Dermatology A Medical Corporation's NPI number?

The NPI number for California Coastal Dermatology A Medical Corporation is 1083032262. It was assigned to this organization in the NPPES registry on April 3, 2014.

Where is California Coastal Dermatology A Medical Corporation located?

California Coastal Dermatology A Medical Corporation is located at 28261 Marguerite Pkwy, Mission Viejo, CA 92692. The listed phone number is (949) 294-1679.

What is California Coastal Dermatology A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does California Coastal Dermatology A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2077800) is associated with this NPI, valid through October 25, 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 California Coastal Dermatology A Medical Corporation was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.