Green Dermatologic Medical Group a Medical Corporation
NPI 1821116054 · Specialist · Laguna Hills, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Green Dermatologic Medical Group a Medical Corporation is a Specialist organization in Laguna Hills, CA (NPI 1821116054).
Provider details
- NPI number
- 1821116054
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Rollin Green, President(949) 452-3841
Specialties & taxonomies
Other Service Providers
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
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2018-05-04
Frequently asked questions
- What is Green Dermatologic Medical Group a Medical Corporation's NPI number?
- Green Dermatologic Medical Group a Medical Corporation's National Provider Identifier (NPI) is 1821116054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Dermatologic Medical Group a Medical Corporation?
- Green Dermatologic Medical Group a Medical Corporation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Green Dermatologic Medical Group a Medical Corporation located?
- Green Dermatologic Medical Group a Medical Corporation's practice location on file with NPPES is 24411 Health Center Dr Ste 520, Laguna Hills, CA 92653-3633.
- What is Green Dermatologic Medical Group a Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Green Dermatologic Medical Group a Medical Corporation is (949) 452-3841.
- Does Green Dermatologic Medical Group a Medical Corporation accept Medicare?
- Green Dermatologic Medical Group a Medical Corporation 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 Green Dermatologic Medical Group a Medical Corporation?
- The authorized official listed on Green Dermatologic Medical Group a Medical Corporation's NPPES record is Rollin Green, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Dermatologic Medical Group a Medical Corporation's NPI active?
- Yes — Green Dermatologic Medical Group a Medical Corporation's NPI (1821116054) is active in the NPPES registry as of the last update on 2018-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.