Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Newport Beach Surgical and Medical Group Inc

Organization Dermatology Physician · NPI 1477953511

Newport Beach Surgical and Medical Group Inc provides Dermatology Physician services in Newport Beach, California. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 Newport Center Dr Ste 158
Newport Beach, CA 92660-6972 Not confirmed with CMS for 11 years — call before visiting
Phone: (949) 719-1800
Fax: (949) 719-1810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Dermatology Physician Taxonomy 207N00000X
Facial Plastic Surgery Physician Taxonomy 207YS0123X

Record details

NPI number1477953511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Madorsky — President · (949) 719-1800
NPI enumeratedAugust 26, 2014
Last updated in NPPESDecember 4, 2014
Mailing addressPo Box 6765, Orange, CA 92863-6765

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