COASTAL DERMATOLOGY AND PLASTIC SURGERY
NPI 1588911549
Specialist in Huntington Beach, CA
NPI Status: Active since August 09, 2012
Contact Information
17822 BEACH BLVD
SUITE 427
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 842-7796
Fax: (714) 842-9206
- Organization
- Specialist
- CLIA Number: 05D0553338
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-27-2027
About COASTAL DERMATOLOGY AND PLASTIC SURGERY
This page provides the complete NPI Profile along with additional information for Coastal Dermatology And Plastic Surgery, a provider established in Huntington Beach, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1588911549 assigned on August 2012. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Coastal Dermatology And Plastic Surgery. The authorized official of this NPI record is Dr. Matthew Bart Luxenberg M.d. (Secretary/treasurer)
- NPI
- 1588911549
- Provider Legal Name
- ALAMITOS DERMATOLOGICAL MEDICAL CLINIC, INC
- Other Organization Name
- COASTAL DERMATOLOGY AND PLASTIC SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17822 BEACH BLVD SUITE 427 HUNTINGTON BEACH, CA 92647
- Location Phone
- (714) 842-7796
- Location Fax
- (714) 842-9206
- Mailing Address
- 3801 KATELLA AVE SUITE 101 LOS ALAMITOS, CA 90720
- Mailing Phone
- (562) 598-8593
- Mailing Fax
- (714) 842-9206
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2012
- Last Update Date
- 08-09-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0553338
- Facility Type
- Physician Office
- Certificate Effective Date
- August 28, 2025
- Certificate Expiration Date
- August 27, 2027
- Laboratory Director
- MATTHEW LUXENBERG MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Coastal Dermatology And Plastic Surgery after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588911549, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588911549, enumerated as an "organization" on August 09, 2012.
The provider is located at 17822 BEACH BLVD SUITE 427 HUNTINGTON BEACH, CA 92647 and the phone number is (714) 842-7796.
Specialist with taxonomy code 174400000X.
