CRYSTAL COVE DERMATOLOGY, INC.
NPI 1619186731
Specialist in Newport Beach, CA

Q: What is Crystal Cove Dermatology, Inc.'s NPI number?

The NPI number for Crystal Cove Dermatology, Inc. is 1619186731. It was assigned to this organization in the NPPES registry on May 22, 2007.

Q: What is Crystal Cove Dermatology, Inc.'s specialty?

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

Active since May 22, 2007

1441 AVOCADO AVE, SUITE 602, NEWPORT BEACH, CA 92660(949) 640-9633(949) 640-9677 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crystal Cove Dermatology, Inc. NPPES

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

CRYSTAL COVE DERMATOLOGY, INC. (NPI 1619186731) is a healthcare organization registered as a specialist in Newport Beach, California and active in the NPI registry since May 2007. The organization lists Marguerite J Critelli, Owner, as its authorized official.

NPPES Registry Identity

NPI1619186731

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCRYSTAL COVE DERMATOLOGY, INC.

Location Address1441 AVOCADO AVE, SUITE 602Newport Beach, CA 92660-7721

Mailing Address1441 Avocado Ave, Suite 602Newport Beach, CA 92660-7721 · (949) 640-9633 · Fax (949) 640-9677

Phone(949) 640-9633

Fax(949) 640-9677

Organization SubpartNo

Authorized OfficialMarguerite J CritelliOwner · (949) 640-9633

Enumeration DateMay 22, 2007

Last NPPES UpdateJune 13, 2008

✔ NPI 1619186731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G076233

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.

1441 AVOCADO AVE, Newport Beach, CA 92660

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Other Identifiers 3

OtherG76233CA · State License

Medicare UPING02214CA

Medicare ID-Type UnspecifiedG76233CA · Medicare

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

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.

DR. EDWARD PELLIS DDS

Dentist (Endodontics)

1441 AVOCADO AVE, SUITE #401
NEWPORT BEACH, CA 92660

Orange County (949) 644-0595

DR. MICHAEL KERMANI MD

Ophthalmology

1441 AVOCADO AVE, 501
NEWPORT BEACH, CA 92660

Orange County (949) 836-1690

JOHN BUONCRISTIANI DDS

Dentist (Endodontics)

1441 AVOCADO AVE, SUITE #401
NEWPORT BEACH, CA 92660

Orange County (949) 644-0595

DR. ROBERT BRUCE COYE D.D.S.

Dentist (Prosthodontics)

1441 AVOCADO AVE, SUITE 508
NEWPORT BEACH, CA 92660

Orange County (949) 640-5680

DR. JOHN PAUL ERIKSMOEN DDS

Dentist (General Practice)

1441 AVOCADO AVE, SUITE 508
NEWPORT BEACH, CA 92660

Orange County (949) 640-5680

SURINDER SAINI MD INC

Internal Medicine (Gastroenterology)

1441 AVOCADO AVE, SUITE 807
NEWPORT BEACH, CA 92660

Orange County (949) 650-5155

MICHAEL KERMANI, MD, INC

Ophthalmology

1441 AVOCADO AVE, SUITE 501
NEWPORT BEACH, CA 92660

Orange County (949) 640-2010

MRS. KATHLEEN P HUTTON MD

Dermatology

1441 AVOCADO AVE, SUITE 309
NEWPORT BEACH, CA 92660

Orange County (949) 644-8556

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 Crystal Cove Dermatology, Inc.'s NPI number?

The NPI number for Crystal Cove Dermatology, Inc. is 1619186731. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Crystal Cove Dermatology, Inc. located?

Crystal Cove Dermatology, Inc. is located at 1441 Avocado Ave Suite 602, Newport Beach, CA 92660. The listed phone number is (949) 640-9633.

What is Crystal Cove Dermatology, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Cove Dermatology, Inc. was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.