OrganizationActive
S. Gayle Widyolar, M.D., Inc.
NPI 1457538415 · Dermatology Physician · Corona Del Mar, CA
Provider details
- NPI number
- 1457538415
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sheila Widyolar, President(949) 760-2552
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
21 Montecito Dr
Corona Del Mar, CA 92625-1017
Phone: (949) 760-2552
Fax: (949) 706-3808
Street-level locationGet directions
Mailing address
21 Montecito Dr
Corona Del Mar, CA 92625-1017
Registry dates
- Enumerated
- 2008-01-22
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.