SEASIDE DERMATOLOGY AND SKIN CANCER CENTER
NPI 1710245634
Dermatology - MOHS-Micrographic Surgery in Irvine, CA
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Seaside Dermatology And Skin Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Seaside Dermatology And Skin Cancer Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Seaside Dermatology, Inc. enrolled in Medicare?
Yes. Seaside Dermatology, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Seaside Dermatology, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Seaside Dermatology, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Seaside Dermatology And Skin Cancer Center · NPI 1710245634
MOHS-Micrographic Surgery organization in Irvine, California. Organization record, active in the CMS NPPES registry since April 28, 2012.
## Identity
- **NPI:** 1710245634 (Entity type: Organization)
- **Enumerated:** April 28, 2012
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Legal business name:** Seaside Dermatology, Inc.
- **Organization subpart:** No
- **Authorized official:** Hien Tran, CEO
## Practice location
- **Address:** 4950 BARRANCA PKWY, SUITE 307, Irvine, CA 92604-4671
- **Phone:** (949) 552-1313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710245634) · Data from the CMS NPPES public registry.