IRVINE DERMATOLOGY
NPI 1760174882
Dermatology in Irvine, CA

Active since May 25, 2023CLIA 05D2303107 · Certificate of Compliance
6865 ALTON PKWY STE 210, IRVINE, CA 92618(949) 800-8551(657) 400-8008 Get Directions Write a Review

NPPES record last updated: January 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2023, May 25, 2023 (2 updates tracked since 2023).

About Irvine Dermatology NPPES

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

IRVINE DERMATOLOGY (NPI 1760174882) is a healthcare organization registered as a dermatology in Irvine, California and active in the NPI registry since May 2023. The organization holds a CLIA Certificate of Compliance certificate valid through July 30, 2027 and lists Marjon Vatanchi, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1760174882
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBARAYE
Location Address6865 ALTON PKWY STE 210Irvine, CA 92618-3741
Mailing Address6865 Alton Pkwy Ste 210Irvine, CA 92618-3741 · (949) 800-8551 · Fax (657) 400-8008
Fax(657) 400-8008
Organization SubpartNo
Authorized OfficialMarjon VatanchiChief Medical Officer · (949) 800-8551
Enumeration DateMay 25, 2023
Last NPPES UpdateJanuary 28, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2024
✔ NPI 1760174882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
6865 ALTON PKWY STE 210, Irvine, CA 92618

Other Names 1

Doing Business AsIrvine Dermatology

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irvine Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Irvine Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1073951109
6865 ALTON PKWY STE 210
Irvine, CA 92618
(949) 800-8551
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1508940644
9889 MAGNOLIA AVE STE A
Riverside, CA 92503
(951) 566-5634
✔ PECOS✔ Accepts Medicare26 mi
Dermatology
NPI 1629465778
4836 VAN NUYS BLVD
Sherman Oaks, CA 91403
(818) 907-7546
✔ PECOS✔ Accepts Medicare52 mi
Dermatology
NPI 1720405087
1601 LAFAYETTE RD STE 100
Crawfordsville, IN 47933
(765) 362-1212
✔ PECOS✔ Accepts Medicare1,757 mi
Dermatology
NPI 1174882526
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-3582
✔ PECOS✔ Accepts Medicare2,273 mi

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 05D2303107

Irvine Dermatology · Irvine, CA
Active · expires Jul 30, 2027
CLIA Number05D2303107
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorMarjon Vatanchi
Laboratory Phone(949) 800-8551
Laboratory LocationIrvine Dermatology6865 Alton Pkwy, Ste 210, Irvine, CA 92618
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.

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 Baraye's NPI number?

The NPI number for Baraye is 1760174882. It was assigned to this organization in the NPPES registry on May 25, 2023. The provider is doing business as Irvine Dermatology.

Where is Baraye located?

Baraye is located at 6865 Alton Pkwy Ste 210, Irvine, CA 92618. The listed phone number is (949) 800-8551.

What is Baraye's specialty?

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

Is Baraye enrolled in Medicare?

Yes. Baraye is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baraye?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Baraye. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baraye hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2303107) is associated with this NPI, valid through July 30, 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 Baraye was last updated on January 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.