Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROSE DERMATOLOGY MEDICAL CORPORATION
NPI 1366389744
Dermatology in Newport Beach, CA

Active since May 02, 2026
360 SAN MIGUEL DR STE 309, NEWPORT BEACH, CA 92660(949) 229-0306 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, May 2, 2026 (2 updates tracked since 2026).

About Rose Dermatology Medical Corporation NPPES

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

ROSE DERMATOLOGY MEDICAL CORPORATION (NPI 1366389744) is a healthcare organization registered as a dermatology in Newport Beach, California and active in the NPI registry since May 2026. The organization lists Blair Rose, Owner, as its authorized official.

NPPES Registry Identity

NPI1366389744
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROSE DERMATOLOGY MEDICAL CORPORATION
Location Address360 SAN MIGUEL DR STE 309Newport Beach, CA 92660-7829
Mailing Address29911 Niguel Rd Unit 6358Laguna Niguel, CA 92607-2414 · (949) 227-3333 · Fax (949) 227-3000
Organization SubpartNo
Authorized OfficialBlair RoseOwner · (949) 227-3333
Enumeration DateMay 2, 2026
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1366389744 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.
360 SAN MIGUEL DR STE 309, Newport Beach, CA 92660

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)

Rose Dermatology Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rose Dermatology Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1891113395
360 SAN MIGUEL DR STE 309
Newport Beach, CA 92660
(949) 640-0434
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rose Dermatology Medical Corporation's NPI number?

The NPI number for Rose Dermatology Medical Corporation is 1366389744. It was assigned to this organization in the NPPES registry on May 2, 2026.

Where is Rose Dermatology Medical Corporation located?

Rose Dermatology Medical Corporation is located at 360 San Miguel Dr Ste 309, Newport Beach, CA 92660. The listed phone number is (949) 229-0306.

What is Rose Dermatology Medical Corporation's specialty?

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

Is Rose Dermatology Medical Corporation enrolled in Medicare?

Yes. Rose Dermatology Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Dermatology Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Rose Dermatology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rose Dermatology Medical Corporation was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.