PURE DERMATOLOGY
NPI 1912246570
Dermatology in Newport Beach, CA

Active since February 01, 2013
500 SUPERIOR AVE, STE 335, NEWPORT BEACH, CA 92663(949) 706-1469(949) 706-7307 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pure Dermatology NPPES

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

PURE DERMATOLOGY (NPI 1912246570) is a healthcare organization registered as a dermatology in Newport Beach, California and active in the NPI registry since February 2013. The organization lists Neda Mehr, President, as its authorized official.

NPPES Registry Identity

NPI1912246570
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePURE DERMATOLOGY
Location Address500 SUPERIOR AVE, STE 335Newport Beach, CA 92663-3657
Mailing Address500 Superior Ave, Ste 335Newport Beach, CA 92663-3657 · (949) 706-1469 · Fax (949) 706-7307
Fax(949) 706-7307
Organization SubpartNo
Authorized OfficialNeda MehrPresident · (949) 413-7336
Enumeration DateFebruary 1, 2013
Last NPPES UpdateAugust 4, 2016
✔ NPI 1912246570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A105012
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.
500 SUPERIOR AVE, Newport Beach, CA 92663

Other Identifiers 1

OtherHA571ACA · Medicare Ptan

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pure Dermatology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Dermatology
NPI 1841432861
500 SUPERIOR AVE STE 335
Newport Beach, CA 92663
(949) 706-1469
✔ PECOSSame address
Dermatology
NPI 1528696200
500 SUPERIOR AVE STE 335
Newport Beach, CA 92663
(949) 706-1469
✔ PECOSSame address
Dermatology
NPI 1467493163
520 SUPERIOR AVE STE 335
Newport Beach, CA 92663
(949) 236-7900
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1922443464
2921 PALO VERDE AVE STE 102
Long Beach, CA 90815
(562) 999-3483
✔ PECOS✔ Accepts Medicare16 mi
Dermatology
NPI 1013283910
301 W BASTANCHURY RD SUITE 210
Fullerton, CA 92835
(714) 879-9936
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1417185216
KAISER DERMATOLOGY - MAPLE BUILDING 910 MAPLE STREET
Redwood City, CA 94063
(650) 299-2111
✔ PECOS✔ Accepts Medicare359 mi
Dermatology
NPI 1740482603
10725 INTERNATIONAL DR DEPARTMENT OF DERMATOLOGY - MOHS SURGERY
Rancho Cordova, CA 95670
(916) 631-3010
✔ PECOS✔ Accepts Medicare389 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 05D2061184

Pure Dermatology · Newport Beach, CA
Expired · Sep 30, 2026
CLIA Number05D2061184
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorNeda Mehr
Laboratory Phone(949) 706-1469
Laboratory LocationPure Dermatology500 Superior Ave, Ste 335, Newport Beach, CA 92663
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 Pure Dermatology's NPI number?

The NPI number for Pure Dermatology is 1912246570. It was assigned to this organization in the NPPES registry on February 1, 2013.

Where is Pure Dermatology located?

Pure Dermatology is located at 500 Superior Ave Ste 335, Newport Beach, CA 92663. The listed phone number is (949) 706-1469.

What is Pure Dermatology's specialty?

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

Is Pure Dermatology enrolled in Medicare?

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

How many clinicians bill Medicare through Pure Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Pure 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pure Dermatology was last updated on August 4, 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.