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TONY NADER NAKHLA D.O.
NPI 1619052248
Dermatology in Santa Ana, CA

Active since October 25, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0688745 · Certificate of Compliance
93.74/100
CMS Quality Rating
800 N TUSTIN AVE, SUITE G, SANTA ANA, CA 92705(714) 547-6111(714) 547-0833 Get Directions Write a Review

NPPES record last updated: August 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tony Nader Nakhla D.o. NPPES

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

TONY NADER NAKHLA D.O. (NPI 1619052248) is an individual dermatology provider in Santa Ana, California, licensed in California (20A9746) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through June 19, 2027, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619052248
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameTONY NADER NAKHLACredential: D.O.
Location Address800 N TUSTIN AVE, SUITE GSanta Ana, CA 92705-3605
Mailing Address800 N Tustin Ave, Suite GSanta Ana, CA 92705-3605 · (714) 547-6111 · Fax (714) 547-0833
Phone(714) 547-6111
Fax(714) 547-0833
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 6, 2022
NPPES CertifiedAugust 6, 2022
✔ NPI 1619052248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 20A9746
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.
800 N TUSTIN AVE, Santa Ana, CA 92705
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Other Names 1

Former Name (1)Nader Nakhla

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tony Nader Nakhla D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143357285
PECOS Enrollment IDI20100422000245
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 05D0688745

Tony N Nakhla, Do Inc Oc Skin Institute · Santa Ana, CA
Active · expires Jun 19, 2027
CLIA Number05D0688745
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorTony N. Nakhla
Laboratory Phone(714) 547-6111
Laboratory LocationTony N Nakhla, Do Inc Oc Skin Institute800 N Tustin Ave Ste G, Santa Ana, CA 92705
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
668 services127 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
222 services62 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
192 services72 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
168 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
156 services90 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
50 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.48
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
95%3,112 patients3/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%30 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 49% · 769 patients
Patients screened: 99% · 769 patients
93%29 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 93% · 769 patients
Patients screened: 51% · 769 patients
100%241 patients
Tobacco Use and Help with Quitting Among Adolescents
99%119 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

SAVE-RITE PHARMACY, INC.
Pharmacy
800 N TUSTIN AVE, SUITE H
SANTA ANA, CA 92705
Orange County (714) 972-2200
JOHN G. ALEVIZOS DO, INC.
Non-Pharmacy Dispensing Site
800 N TUSTIN AVE, SUITE A
SANTA ANA, CA 92705
Orange County (714) 245-0800
SONUS-USA, INC.
Audiologist-Hearing Aid Fitter
800 N TUSTIN AVE, SUITE I
SANTA ANA, CA 92705
Orange County (714) 543-9263
U.S. HEALTHWORKS MEDICAL GROUP, PC
Clinic/Center (Urgent Care)
800 N TUSTIN AVE, SUITE A
SANTA ANA, CA 92705
Orange County (714) 245-0800
LAWRENCE A SHERWIN MD INC
Dermatology (Dermatopathology)
800 N TUSTIN AVE, SUITE G
SANTA ANA, CA 92705
Orange County (714) 547-6111
MED ZONE PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
800 N TUSTIN AVE, STE K
SANTA ANA, CA 92705
Orange County (714) 558-1900
DR. BRIAN CAMERON BUDER M.D.
Preventive Medicine (Occupational Medicine)
800 N TUSTIN AVE, SUITE A
SANTA ANA, CA 92705
Orange County (714) 245-0800
MR. LAWRENCE ARNOLD SHERWIN M.D.
Dermatology (Dermatopathology)
800 N TUSTIN AVE, STE G
SANTA ANA, CA 92705
Orange County (714) 547-6111

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 Tony Nakhla's NPI number?

The NPI number for Tony Nakhla is 1619052248. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Nader Nakhla.

Where is Tony Nakhla located?

Tony Nakhla practices at 800 N Tustin Ave Suite G, Santa Ana, CA 92705. The listed phone number is (714) 547-6111.

What is Tony Nakhla's specialty?

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

Is Tony Nakhla enrolled in Medicare?

Yes. Tony Nakhla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Tony Nakhla hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0688745) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tony Nakhla accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tony Nakhla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tony Nakhla was last updated on August 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.