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BLUE HARBOR DERMATOLOGY INC
NPI 1962829457
Dermatology in Newport Beach, CA

Active since March 24, 2014
1501 SUPERIOR AVE, SUITE 115, NEWPORT BEACH, CA 92663(214) 395-2221 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 lists Kevin Belasco, Physician, as its authorized official.

NPPES Registry Identity

NPI1962829457
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE HARBOR DERMATOLOGY INC
Location Address1501 SUPERIOR AVE, SUITE 115Newport Beach, CA 92663-3600
Mailing Address1501 Superior Ave, Suite 115Newport Beach, CA 92663-3600
Phone(214) 395-2221
Organization SubpartNo
Authorized OfficialKevin BelascoPhysician · (800) 828-2012
Enumeration DateMarch 24, 2014
✔ NPI 1962829457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 20A12076
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.
1501 SUPERIOR AVE, Newport Beach, CA 92663
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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

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, CA
Expired · Jul 31, 2026
CLIA Number05D2089223
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorKevin T. Belasco
Laboratory Phone(949) 640-7546
Laboratory LocationBlue Harbor Dermatology Inc1501 Superior Ave Ste 115, Newport Beach, CA 92663
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENA AMR MD INC
Surgery
1501 SUPERIOR AVE, SUITE 202
NEWPORT BEACH, CA 92663
Orange County (949) 631-3454
LAUREN ANN MESSELBECK L.AC.
Acupuncturist
1501 SUPERIOR AVE, SUITE 300
NEWPORT BEACH, CA 92663
Orange County (949) 836-2857
DR. GARY S MCCARTER DPM
Podiatrist (Foot & Ankle Surgery)
1501 SUPERIOR AVE, SUITE 110
NEWPORT BEACH, CA 92663
Orange County (949) 631-4099
RYAN M KLEIN MD
Internal Medicine
1501 SUPERIOR AVE, STE 111
NEWPORT BEACH, CA 92663
Orange County (949) 274-8030
LIANG REN DDS
Dentist (General Practice)
1501 SUPERIOR AVE, SUITE306
NEWPORT BEACH, CA 92663
Orange County (949) 218-1408
JOHNNY WONG DDS INC.
Dentist
1501 SUPERIOR AVE, SUITE 200
NEWPORT BEACH, CA 92663
Orange County (949) 642-9928
MILLER COSMETICS INC. A MEDICAL CORPORATION
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1501 SUPERIOR AVE, SUITE 301
NEWPORT BEACH, CA 92663
Orange County (909) 215-9463
WILLIAM P KLEIN MD
Internal Medicine
1501 SUPERIOR AVE, #111
NEWPORT BEACH, CA 92663
Orange County (949) 274-8030

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 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.

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.