ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP
NPI 1891986204
Specialist in Tustin, CA
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 1891986204) is a healthcare organization registered as a specialist in Tustin, California and active in the NPI registry since August 2007. The organization lists Monica T Dennis, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
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
5Medicare 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)
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 Alamitos Dermatological Medical Clinic A Professional Corp's NPI number?
The NPI number for Alamitos Dermatological Medical Clinic A Professional Corp is 1891986204. 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 12721 Newport Ave Suite 4, Tustin, CA 92780. The listed phone number is (714) 838-5680.
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.
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.
# Alamitos Dermatological Medical Clinic A Professional Corp · NPI 1891986204
Specialist organization in Tustin, California. Organization record, active in the CMS NPPES registry since August 9, 2007.
## Identity
- **NPI:** 1891986204 (Entity type: Organization)
- **Enumerated:** August 9, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Monica Dennis, ADMINISTRATOR
## Practice location
- **Address:** 12721 NEWPORT AVE, SUITE 4, Tustin, CA 92780-8030
- **Phone:** (714) 838-5680 · **Fax:** (714) 544-1321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Plastic and Reconstructive Surgery (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2016
- **Other identifiers:** Medicare UPIN W1155E (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1891986204) · Data from the CMS NPPES public registry.