BLUE HARBOR DERMATOLOGY INC
NPI 1962829457
Dermatology in Newport Beach, CA
About Blue Harbor Dermatology Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE HARBOR DERMATOLOGY INC (NPI 1962829457) is a healthcare organization registered as a dermatology in Newport Beach, California and active in the NPI registry since March 2014. The organization holds a CLIA Certificate of Compliance certificate valid through July 18, 2027 and lists Kevin Belasco, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Blue Harbor Dermatology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Harbor Dermatology Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D2089223
Blue Harbor Dermatology Inc · Newport Beach, CAFrequently 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 Blue Harbor Dermatology Inc's NPI number?
The NPI number for Blue Harbor Dermatology Inc is 1962829457. It was assigned to this organization in the NPPES registry on March 24, 2014.
Where is Blue Harbor Dermatology Inc located?
Blue Harbor Dermatology Inc is located at 1501 Superior Ave Suite 115, Newport Beach, CA 92663. The listed phone number is (214) 395-2221.
What is Blue Harbor Dermatology Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Blue Harbor Dermatology Inc enrolled in Medicare?
Yes. Blue Harbor Dermatology Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Harbor Dermatology Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Blue Harbor Dermatology Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Blue Harbor Dermatology Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D2089223) is associated with this NPI, valid through July 18, 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 Blue Harbor Dermatology Inc was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.