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ADVANCED DERMATOLOGY OF SAN CLEMENTE INC
NPI 1336220540
Dermatology in Dana Point, CA

Active since October 17, 2006CLIA 05D2085385 · Certificate of Compliance
34213 PACIFIC COAST HWY, DANA POINT, CA 92629(949) 248-4547(949) 248-4587 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Dermatology Of San Clemente Inc NPPES

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

ADVANCED DERMATOLOGY OF SAN CLEMENTE INC (NPI 1336220540) is a healthcare organization registered as a dermatology in Dana Point, California and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 20, 2027 and lists Maryam Moinfar, President, as its authorized official.

NPPES Registry Identity

NPI1336220540
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY INC.
Location Address34213 PACIFIC COAST HWYDana Point, CA 92629
Mailing Address34213 Pacific Coast HwyDana Point, CA 92629-2875 · (952) 240-2827 · Fax (949) 248-4587
Phone(949) 248-4547
Fax(949) 248-4587
Organization SubpartNo
Authorized OfficialMaryam MoinfarPresident · (952) 240-2827
Enumeration DateOctober 17, 2006
Last NPPES UpdateJune 27, 2019
✔ NPI 1336220540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A92449
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.
34213 PACIFIC COAST HWY, Dana Point, CA 92629
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Other Names 1

Doing Business AsAdvanced Dermatology Of San Clemente Inc

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 Of San Clemente 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 Of San Clemente Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Maryam Moinfar, MD
Dermatology
NPI 1376515403
34213 PACIFIC COAST HWY SUITE A
Dana Point, CA 92629
(952) 240-2827
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Lander, M.D., PH.D.
Dermatology
NPI 1174566046
16300 SAND CANYON AVE SUITE 612
Irvine, CA 92618
(949) 753-1001
✔ PECOS✔ Accepts Medicare14 mi
Bijan Haghighi, M.D.
Pathology
NPI 1790868909
805 W LA VETA AVE STE 104
Orange, CA 92868
(714) 288-4044
✔ PECOS24 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 05D2085385

Advanced Dermatology Inc · Dana Point, CA
Active · expires May 20, 2027
CLIA Number05D2085385
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorDr. Maryam Moinfar MD
Laboratory Phone(949) 248-4547
Laboratory LocationAdvanced Dermatology Inc34213 Pacific Coast Hwy, Dana Point, CA 92629
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 Inc.'s NPI number?

The NPI number for Advanced Dermatology Inc. is 1336220540. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Advanced Dermatology Of San Clemente Inc.

Where is Advanced Dermatology Inc. located?

Advanced Dermatology Inc. is located at 34213 Pacific Coast Hwy, Dana Point, CA 92629. The listed phone number is (949) 248-4547.

What is Advanced Dermatology Inc.'s specialty?

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

Is Advanced Dermatology Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Advanced Dermatology Inc.?

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

Does Advanced Dermatology Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2085385) is associated with this NPI, valid through May 20, 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 Advanced Dermatology Inc. was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.