OrganizationActive
Orlando Dermatology Clinic LLC
NPI 1821699232 · Dermatology Physician · Fullerton, CA
Provider details
- NPI number
- 1821699232
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tarek Shaath, Owner(785) 760-6740
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1950 Sunny Crest Dr Ste 1600
Fullerton, CA 92835-3642
Phone: (352) 218-3211
Street-level locationGet directions
Mailing address
1040 Lake Sumter Lndg
The Villages, FL 32162-2697
Other names (DBA / former)
- Doing business as
- Care Dermatology and Skin Cancer Centers
Registry dates
- Enumerated
- 2020-11-03
- Last updated
- 2022-08-26
- Certified
- 2022-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.