ORANGE COAST DERMATOLOGY, INC
NPI 1790937647
Dermatology - Procedural Dermatology in Mission Viejo, CA
NPI Status: Active since October 22, 2008
Contact Information
26732 CROWN VALLEY PKWY
SUITE 461
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-3305
Fax: (949) 347-1606
- Organization
- Dermatology
- Procedural Dermatology
- CLIA Number: 05D1094919
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-27-2027
About ORANGE COAST DERMATOLOGY, INC
This page provides the complete NPI Profile along with additional information for Orange Coast Dermatology, Inc, a provider established in Mission Viejo, California operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1790937647 assigned on October 2008. The practitioner's primary taxonomy code is 207NS0135X with license number A83696 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Daniel A Dicesare M.d. (President)
- NPI
- 1790937647
- Provider Name
- ORANGE COAST DERMATOLOGY, INC
- Entity Type
- Organization
- Location Address
- 26732 CROWN VALLEY PKWY SUITE 461 MISSION VIEJO, CA 92691
- Location Phone
- (949) 364-3305
- Location Fax
- (949) 347-1606
- Mailing Address
- 34145 PACIFIC COAST HWY # 670 DANA POINT, CA 92629
- Mailing Phone
- (949) 888-8500
- Mailing Fax
- (949) 347-1606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-22-2008
- Last Update Date
- 09-30-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A83696
- License State
- CA
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H92660 | MEDICARE UPIN (02) | CA | |
| BL 114 | MEDICARE PIN (08) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1094919
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2025
- Certificate Expiration Date
- October 27, 2027
- Laboratory Director
- DANIEL A. DICESARE MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Orange Coast Dermatology, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790937647, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790937647, enumerated as an "organization" on October 22, 2008.
The provider is located at 26732 CROWN VALLEY PKWY SUITE 461 MISSION VIEJO, CA 92691 and the phone number is (949) 364-3305.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
