MPZ DERMATOLOGY
NPI 1790516623
Dermatology in Corona, CA

Active since August 12, 2024
1820 FULLERTON AVE STE 360, CORONA, CA 92881(951) 270-4494(951) 270-4495 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mpz Dermatology NPPES

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

MPZ DERMATOLOGY (NPI 1790516623) is a healthcare organization registered as a dermatology in Corona, California and active in the NPI registry since August 2024. The organization lists Greg Lynch, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1790516623
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMPZ DERMATOLOGY
Location Address1820 FULLERTON AVE STE 360Corona, CA 92881-3106
Mailing Address5357 Via MorenaYorba Linda, CA 92886-5007 · (909) 227-8034
Fax(951) 270-4495
Organization SubpartNo
Authorized OfficialGreg LynchChief Financial Officer · (909) 227-8034
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1790516623 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.
1820 FULLERTON AVE STE 360, Corona, CA 92881

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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mpz Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1306895974
1820 FULLERTON AVENUE STE 360
Corona, CA 92881
(951) 270-4494
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1740482603
10725 INTERNATIONAL DR DEPARTMENT OF DERMATOLOGY - MOHS SURGERY
Rancho Cordova, CA 95670
(916) 631-3010
✔ PECOS✔ Accepts Medicare387 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mpz Dermatology's NPI number?

The NPI number for Mpz Dermatology is 1790516623. It was assigned to this organization in the NPPES registry on August 12, 2024.

Where is Mpz Dermatology located?

Mpz Dermatology is located at 1820 Fullerton Ave Ste 360, Corona, CA 92881. The listed phone number is (951) 270-4494.

What is Mpz Dermatology's specialty?

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

Is Mpz Dermatology enrolled in Medicare?

Yes. Mpz Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mpz Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Mpz Dermatology. 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.

When was this NPI record last updated?

The NPPES record for Mpz Dermatology was last updated on August 12, 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.