ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP
NPI 1801087218
Specialist in Mission Viejo, CA

Active since August 09, 2007CLIA 05D0956602 · Certificate of Compliance
27725 SANTA MARGARITA PKWY, SUITE 110, MISSION VIEJO, CA 92691(949) 581-1588(949) 581-1619 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alamitos Dermatological Medical Clinic A Professional Corp NPPES

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

ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP (NPI 1801087218) is a healthcare organization registered as a specialist in Mission Viejo, California and active in the NPI registry since August 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 9, 2027 and lists Monica T Dennis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801087218
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP
Location Address27725 SANTA MARGARITA PKWY, SUITE 110Mission Viejo, CA 92691-6704
Mailing Address27725 Santa Margarita Pkwy, Suite 110Mission Viejo, CA 92691-6704 · (949) 581-1588 · Fax (949) 581-1619
Fax(949) 581-1619
Organization SubpartNo
Authorized OfficialMonica T DennisAdministrator · (562) 619-8440
Enumeration DateAugust 9, 2007
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1801087218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
27725 SANTA MARGARITA PKWY, Mission Viejo, CA 92691

Other Identifiers 1

Medicare PINW1155DCA

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)

Alamitos Dermatological Medical Clinic A Professional Corp 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 Alamitos Dermatological Medical Clinic A Professional Corp, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1134212681
18672 FLORIDA ST. SUITE 201
Huntington Beach, CA 92648
(714) 842-7796
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1548353121
3801 KATELLA AVE SUITE 101
Los Alamitos, CA 90720
(562) 598-8593
✔ PECOS✔ Accepts Medicare26 mi
Dermatology
NPI 1235222860
3801 KATELLA AVE. SUITE 101
Los Alamitos, CA 90720
(562) 598-8593
✔ PECOS✔ Accepts Medicare26 mi
Dermatology
NPI 1053404681
3801 KATELLA AVE. SUITE 101
Los Alamitos, CA 90720
(562) 598-8593
✔ PECOS✔ Accepts Medicare26 mi
Plastic and Reconstructive Surgery
NPI 1821000100
22930 CRENSHAW BLVD STE D
Torrance, CA 90505
(310) 530-4200
✔ PECOS✔ Accepts Medicare41 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 05D0956602

Alamitos Dermatological Medical Clinic, Inc · Mission Viejo, CA
Active · expires Aug 9, 2027
CLIA Number05D0956602
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDr. Mathew Luxenberg
Laboratory Phone(949) 581-1588
Laboratory LocationAlamitos Dermatological Medical Clinic, Inc27725 Santa Margarita Pkwy Ste 110, Mission Viejo, CA 92691
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 Alamitos Dermatological Medical Clinic A Professional Corp's NPI number?

The NPI number for Alamitos Dermatological Medical Clinic A Professional Corp is 1801087218. It was assigned to this organization in the NPPES registry on August 9, 2007.

Where is Alamitos Dermatological Medical Clinic A Professional Corp located?

Alamitos Dermatological Medical Clinic A Professional Corp is located at 27725 Santa Margarita Pkwy Suite 110, Mission Viejo, CA 92691. The listed phone number is (949) 581-1588.

What is Alamitos Dermatological Medical Clinic A Professional Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alamitos Dermatological Medical Clinic A Professional Corp enrolled in Medicare?

Yes. Alamitos Dermatological Medical Clinic A Professional Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alamitos Dermatological Medical Clinic A Professional Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Alamitos Dermatological Medical Clinic A Professional Corp. 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. The largest specialties are Dermatology (4) and Plastic and Reconstructive Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alamitos Dermatological Medical Clinic A Professional Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0956602) is associated with this NPI, valid through August 9, 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 Alamitos Dermatological Medical Clinic A Professional Corp was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.