DR. ROLAND SPURGEON BEVERLY III M.D.
NPI 1083687776
Dermatology in Aliso Viejo, CA

Q: What is Roland Beverly's NPI number?

The NPI number for Roland Beverly is 1083687776. It was assigned to this individual provider in the NPPES registry on February 11, 2006.

Q: What is Roland Beverly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Roland Beverly was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 11, 2006PECOS Enrolled

24541 PACIFIC PARK DR, SUITE 103, ALISO VIEJO, CA 92656(949) 831-3057(949) 831-2515 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Roland Spurgeon Beverly Iii M.d. NPPES

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

DR. ROLAND SPURGEON BEVERLY III M.D. (NPI 1083687776) is an individual dermatology provider in Aliso Viejo, California, licensed in California (G65658) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083687776

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. ROLAND SPURGEON BEVERLY IIICredential: M.D.

Location Address24541 PACIFIC PARK DR, SUITE 103Aliso Viejo, CA 92656-3065

Mailing Address24541 Pacific Park Dr, Suite 103Aliso Viejo, CA 92656-3065 · (949) 831-3057 · Fax (949) 831-2515

Phone(949) 831-3057

Fax(949) 831-2515

Sole ProprietorNo

Enumeration DateFebruary 11, 2006

Last NPPES UpdateMay 10, 2017

✔ NPI 1083687776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · G65658

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License G65658 (CA)

24541 PACIFIC PARK DR, Aliso Viejo, CA 92656

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE83457CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roland Spurgeon Beverly Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92656 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

SU-MIN WANG D.D.S.

Dentist (Pediatric Dentistry)

24541 PACIFIC PARK DR, SUITE 104
ALISO VIEJO, CA 92656

Orange County (949) 362-9860

DR. CIMA MAZAR-ATABAKI D.M.D.

Dentist (Pediatric Dentistry)

24541 PACIFIC PARK DR, SUITE 104
ALISO VIEJO, CA 92656

Orange County (949) 362-9860

BEVERLY DERMATOLOGY AND LASER CENTER

Dermatology

24541 PACIFIC PARK DR, SUITE 103
ALISO VIEJO, CA 92656

Orange County (909) 335-8638

DR. ERNEST BORIS ROBINSON M.D.

Plastic Surgery (Plastic Surgery Within the Head and Neck)

24541 PACIFIC PARK DR, SUITE #103
ALISO VIEJO, CA 92656

Orange County (949) 831-5900

MRS. ALISA WANG PA-C

Physician Assistant

24541 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Orange County (949) 831-3057

DR. RICHARD CASO M.D.

Internal Medicine (Interventional Cardiology)

24541 PACIFIC PARK DR, #109
ALISO VIEJO, CA 92656

Orange County (949) 362-1212

DR. DANIEL E HASPERT M.D.

Specialist

24541 PACIFIC PARK DR, 109
ALISO VIEJO, CA 92656

Orange County (949) 362-1212

CIMA MAZAR-ATABAKI DMD INC

Dentist (Pediatric Dentistry)

24541 PACIFIC PARK DR, SUITE #104
ALISO VIEJO, CA 92656

Orange County (310) 985-0418

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 Roland Beverly's NPI number?

The NPI number for Roland Beverly is 1083687776. It was assigned to this individual provider in the NPPES registry on February 11, 2006.

Where is Roland Beverly located?

Roland Beverly practices at 24541 Pacific Park Dr Suite 103, Aliso Viejo, CA 92656. The listed phone number is (949) 831-3057.

What is Roland Beverly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Roland Beverly enrolled in Medicare?

Yes. Roland Beverly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roland Beverly was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.