Advanced Dermatology Inc.
NPI 1336220540 · Dermatology Physician · Dana Point, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology Inc. is a Dermatology Physician organization in Dana Point, CA (NPI 1336220540).
Provider details
- NPI number
- 1336220540
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maryam Moinfar, President(952) 240-2827
- License
- A92449 (CA)
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
19 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
Other names (DBA / former)
- Doing business as
- Advanced Dermatology of San Clemente Inc
- Doing business as
- Advanced Dermatology of San Clemente Inc
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2019-06-27
Frequently asked questions
- What is Advanced Dermatology Inc.'s NPI number?
- Advanced Dermatology Inc.'s National Provider Identifier (NPI) is 1336220540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology Inc.?
- Advanced Dermatology Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology Inc. located?
- Advanced Dermatology Inc.'s practice location on file with NPPES is 34213 Pacific Coast Hwy, Dana Point, CA 92629.
- What is Advanced Dermatology Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology Inc. is (949) 248-4547.
- Does Advanced Dermatology Inc. accept Medicare?
- Advanced Dermatology Inc. 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 Advanced Dermatology Inc.?
- The authorized official listed on Advanced Dermatology Inc.'s NPPES record is Maryam Moinfar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology Inc.'s NPI active?
- Yes — Advanced Dermatology Inc.'s NPI (1336220540) is active in the NPPES registry as of the last update on 2019-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.