NEW WAVE DERMATOLOGY AND LASER
NPI 1972302560
Dermatology - MOHS-Micrographic Surgery in Newport Beach, CA

Q: What is New Wave Dermatology And Laser's NPI number?

The NPI number for New Wave Dermatology And Laser is 1972302560. It was assigned to this organization in the NPPES registry on March 7, 2025.

Q: What is New Wave Dermatology And Laser's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since March 07, 2025CLIA 05D2337733 · Certificate of Compliance

5010 CAMPUS DR # 140, NEWPORT BEACH, CA 92660(949) 395-6221 Get Directions Write a Review

NPPES record last updated: November 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About New Wave Dermatology And Laser NPPES

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

NEW WAVE DERMATOLOGY AND LASER (NPI 1972302560) is a healthcare organization registered as a mohs-micrographic surgery in Newport Beach, California and active in the NPI registry since March 2025. The organization holds a CLIA Certificate of Compliance certificate valid through January 27, 2028 and lists Bobak Hedayati, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1972302560

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameNEW WAVE DERMATOLOGY AND LASER

Location Address5010 CAMPUS DR # 140Newport Beach, CA 92660-2120

Mailing Address5010 Campus Dr # 140Newport Beach, CA 92660-2120 · (949) 395-6221

Phone(949) 395-6221

Organization SubpartNo

Authorized OfficialBobak HedayatiOwner Ceo · (949) 395-6221

Enumeration DateMarch 7, 2025

Last NPPES UpdateNovember 1, 2025

NPPES CertifiedNovember 1, 2025

✔ NPI 1972302560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

5010 CAMPUS DR # 140, Newport Beach, CA 92660

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Wave Dermatology And Laser 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 New Wave Dermatology And Laser, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bobak Hedayati, MD

Dermatology

NPI 1568090272

5010 CAMPUS DR # 140
Newport Beach, CA 92660

(949) 395-6221

✔ PECOS✔ Accepts MedicareSame address

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 05D2337733

New Wave Dermatology And Laser · Newport Beach, CA

Active · expires Jan 27, 2028

CLIA Number05D2337733

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2026

Certificate Expiration DateJanuary 27, 2028

Laboratory DirectorBobak Hedayati

Laboratory Phone(949) 395-6221

Laboratory LocationNew Wave Dermatology And Laser5010 Campus Dr Ste 140, Newport Beach, CA 92660

CLIA data matches this NPI record on: 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 New Wave Dermatology And Laser's NPI number?

The NPI number for New Wave Dermatology And Laser is 1972302560. It was assigned to this organization in the NPPES registry on March 7, 2025.

Where is New Wave Dermatology And Laser located?

New Wave Dermatology And Laser is located at 5010 Campus Dr # 140, Newport Beach, CA 92660. The listed phone number is (949) 395-6221.

What is New Wave Dermatology And Laser's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is New Wave Dermatology And Laser enrolled in Medicare?

Yes. New Wave Dermatology And Laser is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Wave Dermatology And Laser?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to New Wave Dermatology And Laser. 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 New Wave Dermatology And Laser hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2337733) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Wave Dermatology And Laser was last updated on November 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.