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SEASIDE DERMATOLOGY AND SKIN CANCER CENTER
NPI 1710245634
Dermatology - MOHS-Micrographic Surgery in Irvine, CA

Active since April 28, 2012CLIA 05D2047229 · Certificate of Compliance
4950 BARRANCA PKWY, SUITE 307, IRVINE, CA 92604(949) 552-1313 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seaside Dermatology And Skin Cancer Center NPPES

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

SEASIDE DERMATOLOGY AND SKIN CANCER CENTER (NPI 1710245634) is a healthcare organization registered as a mohs-micrographic surgery in Irvine, California and active in the NPI registry since April 2012. The organization holds a CLIA Certificate of Compliance certificate valid through February 5, 2027 and lists Hien Thanh Tran, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710245634
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSEASIDE DERMATOLOGY, INC.
Location Address4950 BARRANCA PKWY, SUITE 307Irvine, CA 92604-4671
Mailing Address4950 Barranca Pkwy Ste 307Irvine, CA 92604-4631
Phone(949) 552-1313
Organization SubpartNo
Authorized OfficialHien Thanh TranCeo · (949) 278-2209
Enumeration DateApril 28, 2012
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1710245634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CA · A104847
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
4950 BARRANCA PKWY, Irvine, CA 92604
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Other Names 1

Doing Business AsSeaside Dermatology And Skin Cancer Center

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 05D2047229

Seaside Dermatology & Skin Cancer Center · Irvine, CA
Active · expires Feb 5, 2027
CLIA Number05D2047229
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorHien T. Tran, MD, Phd
Laboratory Phone(949) 552-1313
Laboratory LocationSeaside Dermatology & Skin Cancer Center4950 Barranca Pkwy Ste 307, Irvine, CA 92604
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.

FRANK S. SEO, DDS, MPH, INC.
Clinic/Center (Dental)
4950 BARRANCA PKWY, SUITE 309
IRVINE, CA 92604
Orange County (949) 552-5055
MOORE SPINE CENTER AND CHIROPRACTIC SERVICES
Chiropractor
4950 BARRANCA PKWY, #103
IRVINE, CA 92604
Orange County (949) 653-6777
MS. RYOKO TAKAYAMA LAC
Acupuncturist
4950 BARRANCA PKWY, SUITE 301
IRVINE, CA 92604
Orange County (949) 836-2857
DR. ELAINE DOYOUNG KIM D.D.S.
Dentist
4950 BARRANCA PKWY, SUITE 206
IRVINE, CA 92604
Orange County (949) 252-9988
NAHID RAHIMI-MESHKIN
Nurse Practitioner (Family)
4950 BARRANCA PKWY
IRVINE, CA 92604
Orange County (949) 654-4325
DR. SALMA H. KHAN M D.
Radiology (Diagnostic Radiology)
4950 BARRANCA PKWY, SUITE 201
IRVINE, CA 92604
Orange County (949) 294-1550
PETER HOWLAND MONFORE M.D.
Family Medicine
4950 BARRANCA PKWY, 104
IRVINE, CA 92604
Orange County (949) 857-1248
DR. HOWARD GERALD LANG M.D.
Dermatology
4950 BARRANCA PKWY, 307
IRVINE, CA 92604
Orange County (949) 552-1313

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 Seaside Dermatology, Inc.'s NPI number?

The NPI number for Seaside Dermatology, Inc. is 1710245634. It was assigned to this organization in the NPPES registry on April 28, 2012. The provider is doing business as Seaside Dermatology And Skin Cancer Center.

Where is Seaside Dermatology, Inc. located?

Seaside Dermatology, Inc. is located at 4950 Barranca Pkwy Suite 307, Irvine, CA 92604. The listed phone number is (949) 552-1313.

What is Seaside Dermatology, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Seaside Dermatology, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2047229) is associated with this NPI, valid through February 5, 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 Seaside Dermatology, Inc. was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.