CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION
NPI 1083032262
Clinic/Center - Medical Specialty in Mission Viejo, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
California Coastal Dermatology A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to California Coastal Dermatology A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Mission Viejo, CA 92692
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is California Coastal Dermatology A Medical Corporation enrolled in Medicare?
Yes. California Coastal Dermatology A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through California Coastal Dermatology A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to California Coastal Dermatology A Medical Corporation. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# California Coastal Dermatology A Medical Corporation · NPI 1083032262
Medical Specialty organization in Mission Viejo, California. Organization record, active in the CMS NPPES registry since April 3, 2014.
## Identity
- **NPI:** 1083032262 (Entity type: Organization)
- **Enumerated:** April 3, 2014
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Amy Litchfield, PRESIDENT
## Practice location
- **Address:** 28261 MARGUERITE PKWY, Mission Viejo, CA 92692-3703
- **Phone:** (949) 294-1679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2014
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1083032262) · Data from the CMS NPPES public registry.