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COASTAL DERMATOLOGY AND PLASTIC SURGERY
NPI 1588911549
Specialist in Huntington Beach, CA

Active since August 09, 2012CLIA 05D0553338 · Certificate of Compliance
17822 BEACH BLVD, SUITE 427, HUNTINGTON BEACH, CA 92647(714) 842-7796(714) 842-9206 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Dermatology And Plastic Surgery NPPES

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

COASTAL DERMATOLOGY AND PLASTIC SURGERY (NPI 1588911549) is a healthcare organization registered as a specialist in Huntington Beach, California and active in the NPI registry since August 2012. The organization holds a CLIA Certificate of Compliance certificate valid through August 27, 2027 and lists Matthew Bart Luxenberg, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1588911549
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALAMITOS DERMATOLOGICAL MEDICAL CLINIC, INC
Location Address17822 BEACH BLVD, SUITE 427Huntington Beach, CA 92647-7101
Mailing Address3801 Katella Ave, Suite 101Los Alamitos, CA 90720-3338 · (562) 598-8593 · Fax (562) 594-0877
Phone(714) 842-7796
Fax(714) 842-9206
Organization SubpartNo
Authorized OfficialMatthew Bart LuxenbergSecretary/treasurer · (562) 598-8593
Enumeration DateAugust 9, 2012
✔ NPI 1588911549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17822 BEACH BLVD, Huntington Beach, CA 92647
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Other Names 1

Doing Business AsCoastal Dermatology And Plastic Surgery

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 05D0553338

Alamitos Dermatological Medical Clinic Inc · Los Alamitos, CA
Active · expires Aug 27, 2027
CLIA Number05D0553338
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorMatthew Luxenberg MD
Laboratory Phone(562) 598-8593
Laboratory LocationAlamitos Dermatological Medical Clinic Inc3801 Katella Ave Ste 425, Los Alamitos, CA 90720
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.

Other Providers at the Same Location NPPES 20

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

JOSEPH F CHOW M.D., INC.
Clinic/Center (Medical Specialty)
17822 BEACH BLVD, SUITE 468
HUNTINGTON BEACH, CA 92647
Orange County (714) 841-8818
RICHARD B MANTELL MD INC
Dermatology
17822 BEACH BLVD, SUITE 301
HUNTINGTON BEACH, CA 92647
Orange County (714) 794-6981
ANDRE VERESS MD
Family Medicine
17822 BEACH BLVD, SUIT 473
HUNTINGTON BEACH, CA 92647
Orange County (714) 842-5589
PROACTIVE CARE NURSING, INC
Nurse Practitioner (Adult Health)
17822 BEACH BLVD, SUITE 400
HUNTINGTON BEACH, CA 92647
Orange County (714) 332-7016
CHINGFONG CHIN M.D.
Internal Medicine (Cardiovascular Disease)
17822 BEACH BLVD, STE 252
HUNTINGTON BEACH, CA 92647
Orange County (714) 843-5770
VAN H VU M.D.
Anesthesiology (Pain Medicine)
17822 BEACH BLVD, SUITE 100
HUNTINGTON BEACH, CA 92647
Orange County (714) 848-9100
SHERRY DO N.P.
Nurse Practitioner
17822 BEACH BLVD, SUITE 400
HUNTINGTON BEACH, CA 92647
Orange County (714) 332-7016
MR. JOSEPH NASSIR MD
Internal Medicine
17822 BEACH BLVD, #430
HUNTINGTON BEACH, CA 92647
Orange County (714) 843-6800

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 Alamitos Dermatological Medical Clinic, Inc's NPI number?

The NPI number for Alamitos Dermatological Medical Clinic, Inc is 1588911549. It was assigned to this organization in the NPPES registry on August 9, 2012. The provider is doing business as Coastal Dermatology And Plastic Surgery.

Where is Alamitos Dermatological Medical Clinic, Inc located?

Alamitos Dermatological Medical Clinic, Inc is located at 17822 Beach Blvd Suite 427, Huntington Beach, CA 92647. The listed phone number is (714) 842-7796.

What is Alamitos Dermatological Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Alamitos Dermatological Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0553338) is associated with this NPI, valid through August 27, 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 Alamitos Dermatological Medical Clinic, Inc was last updated on August 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.