Golden Coast Dermatology, Skin Cancer and Vein Center PC
NPI 1053957456 · MOHS-Micrographic Surgery Physician · Mission Viejo, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Golden Coast Dermatology, Skin Cancer and Vein Center PC is a MOHS-Micrographic Surgery Physician organization in Mission Viejo, CA (NPI 1053957456).
Provider details
- NPI number
- 1053957456
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Tidwell, Owner/Physician(270) 933-2109
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2020-03-27
- Certified
- 2020-03-27
Frequently asked questions
- What is Golden Coast Dermatology, Skin Cancer and Vein Center PC's NPI number?
- Golden Coast Dermatology, Skin Cancer and Vein Center PC's National Provider Identifier (NPI) is 1053957456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Golden Coast Dermatology, Skin Cancer and Vein Center PC?
- Golden Coast Dermatology, Skin Cancer and Vein Center PC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Golden Coast Dermatology, Skin Cancer and Vein Center PC located?
- Golden Coast Dermatology, Skin Cancer and Vein Center PC's practice location on file with NPPES is 26732 Crown Valley Pkwy Ste 571, Mission Viejo, CA 92691-7305.
- What is Golden Coast Dermatology, Skin Cancer and Vein Center PC's phone number?
- The practice phone number listed in the NPPES registry for Golden Coast Dermatology, Skin Cancer and Vein Center PC is (270) 933-2109.
- Does Golden Coast Dermatology, Skin Cancer and Vein Center PC accept Medicare?
- Golden Coast Dermatology, Skin Cancer and Vein Center PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Golden Coast Dermatology, Skin Cancer and Vein Center PC?
- The authorized official listed on Golden Coast Dermatology, Skin Cancer and Vein Center PC's NPPES record is William Tidwell, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Golden Coast Dermatology, Skin Cancer and Vein Center PC's NPI active?
- Yes — Golden Coast Dermatology, Skin Cancer and Vein Center PC's NPI (1053957456) is active in the NPPES registry as of the last update on 2020-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.