BEVERLY DERMATOLOGY AND LASER CENTER
NPI 1336205533
Dermatology in Aliso Viejo, CA

Active since December 29, 2006CLIA 05D0696954 · Certificate of Compliance
24541 PACIFIC PARK DR, SUITE 103, ALISO VIEJO, CA 92656(909) 335-8638 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beverly Dermatology And Laser Center NPPES

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

BEVERLY DERMATOLOGY AND LASER CENTER (NPI 1336205533) is a healthcare organization registered as a dermatology in Aliso Viejo, California and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 15, 2027 and lists Roland Beverly, Owner, as its authorized official.

NPPES Registry Identity

NPI1336205533
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBEVERLY DERMATOLOGY AND LASER CENTER
Location Address24541 PACIFIC PARK DR, SUITE 103Aliso Viejo, CA 92656-3065
Mailing AddressPo Box 51197, Dept 201Los Angeles, CA 90051-5497
Organization SubpartNo
Authorized OfficialRoland BeverlyOwner · (909) 335-8638
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1336205533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.

24541 PACIFIC PARK DR, Aliso Viejo, CA 92656

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 05D0696954

J Robert West MD, Inc Dba Beverly Dermatology & Laser · Aliso Viejo, CA
Active · expires Jun 15, 2027
CLIA Number05D0696954
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorDr. Jacqueline Levine
Laboratory Phone(949) 831-3057
Laboratory LocationJ Robert West MD, Inc Dba Beverly Dermatology & Laser24541 Pacific Park Dr, Ste 103, Aliso Viejo, CA 92656
CLIA data matches this NPI record on: Address
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 17

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

Dermatology
24541 PACIFIC PARK DR, SUITE 103
ALISO VIEJO, CA 92656
Dentist (Pediatric Dentistry)
24541 PACIFIC PARK DR, SUITE 104
ALISO VIEJO, CA 92656
Dentist (Pediatric Dentistry)
24541 PACIFIC PARK DR, SUITE 104
ALISO VIEJO, CA 92656
Plastic Surgery (Plastic Surgery Within the Head and Neck)
24541 PACIFIC PARK DR, SUITE #103
ALISO VIEJO, CA 92656
Physician Assistant
24541 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Internal Medicine (Interventional Cardiology)
24541 PACIFIC PARK DR, #109
ALISO VIEJO, CA 92656
Specialist
24541 PACIFIC PARK DR, 109
ALISO VIEJO, CA 92656
Dentist (Pediatric Dentistry)
24541 PACIFIC PARK DR, SUITE #104
ALISO VIEJO, CA 92656

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 Beverly Dermatology And Laser Center's NPI number?

The NPI number for Beverly Dermatology And Laser Center is 1336205533. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Beverly Dermatology And Laser Center located?

Beverly Dermatology And Laser Center is located at 24541 Pacific Park Dr Suite 103, Aliso Viejo, CA 92656. The listed phone number is (909) 335-8638.

What is Beverly Dermatology And Laser Center's specialty?

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

Does Beverly Dermatology And Laser Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0696954) is associated with this NPI, valid through June 15, 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 Beverly Dermatology And Laser Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.