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

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: August 09, 2026.

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

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.

Other Providers at the Same Location NPPES

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

BOBAK HEDAYATI MD
Dermatology (MOHS-Micrographic Surgery)
5010 CAMPUS DR # 140
NEWPORT BEACH, CA 92660
Orange County (949) 395-6221

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.

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 9 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.