ADVANCED DERMATOLOGY CARE CENTER INC
NPI 1114971975
Dermatology in Huntington Beach, CA

Active since May 19, 2006CLIA 05D1046446 · Certificate of Compliance
19582 BEACH BLVD, SUITE 217, HUNTINGTON BEACH, CA 92648(949) 650-1244(949) 650-1515 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Oct 25, 2019 (2 updates tracked since 2019).

About Advanced Dermatology Care Center Inc NPPES

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

ADVANCED DERMATOLOGY CARE CENTER INC (NPI 1114971975) is a healthcare organization registered as a dermatology in Huntington Beach, California and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 15, 2026 and lists Joseph Sedrak, President, as its authorized official.

NPPES Registry Identity

NPI1114971975
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY CARE CENTER INC
Location Address19582 BEACH BLVD, SUITE 217Huntington Beach, CA 92648-5923
Mailing Address19582 Beach Blvd, Suite 217Huntington Beach, CA 92648-5923 · (949) 650-1244 · Fax (949) 650-1515
Fax(949) 650-1515
Organization SubpartNo
Authorized OfficialJoseph SedrakPresident · (346) 888-4488
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
✔ NPI 1114971975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G86476
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.
19582 BEACH BLVD, Huntington Beach, CA 92648

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology Care Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Advanced Dermatology Care Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1316966575
101 THE CITY DR S
Orange, CA 92868
(714) 456-8888
✔ PECOS✔ Accepts Medicare9.5 mi
Family Practice
NPI 1346360906
21800 KATY FWY STE 240
Katy, TX 77449
(346) 387-7001
✔ PECOS✔ Accepts Medicare1,334 mi
Dermatology
NPI 1629025929
810 OAK MEADOW DR # 680113
Franklin, TN 37064
(949) 228-3112
✔ PECOS1,771 mi

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 05D1046446

Advanced Dermatology Care Center, Inc · Huntington Beach, CA
Active · expires Dec 15, 2026
CLIA Number05D1046446
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorJoseph F. Sedrak
Laboratory Phone(949) 650-1244
Laboratory LocationAdvanced Dermatology Care Center, Inc19582 Beach Blvd, Ste 217, Huntington Beach, CA 92648
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.

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 Advanced Dermatology Care Center Inc's NPI number?

The NPI number for Advanced Dermatology Care Center Inc is 1114971975. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Advanced Dermatology Care Center Inc located?

Advanced Dermatology Care Center Inc is located at 19582 Beach Blvd Suite 217, Huntington Beach, CA 92648. The listed phone number is (949) 650-1244.

What is Advanced Dermatology Care Center Inc's specialty?

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

Is Advanced Dermatology Care Center Inc enrolled in Medicare?

Yes. Advanced Dermatology Care Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Care Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Advanced Dermatology Care Center Inc, in Dermatology and Family Practice. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Dermatology Care Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1046446) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Care Center Inc was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.